Umbrella Collective Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09923331 Issued in CO

Legal business name

UMBRELLA COLLECTIVE INC

Practice address

2919 Valmont Road
Ste 104
Boulder, CO 80301-1350

Phone

(720) 663-0163

Fax

(303) 658-9871

NPI assigned

Jun 27, 2016

Last updated

Nov 9, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Li Brookens, LCSWNPI 1902228059

Title

Owner

Phone

(720) 663-0163

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Li Brookens, LCSW

  • Clinical Social Worker
  • Boulder, CO
  • NPI 1902228059
  Medicare reassignment NPD Authorized official
• Katrina Puente

  • Social Worker
  • Boulder, CO
  • NPI 1871923417

  Clinical

  Medicare reassignment NPD
• Elizabeth Brown, LSW

  • Social Worker
  • Denver, CO
  • NPI 1063174431
  NPD (past)
• Courtney Rae Lewis, LCSW

  • Clinical Social Worker
  • Boulder, CO
  • NPI 1902308968
  NPD (past)
• Virginia Sanford

  • Mental Health Counselor
  • Boulder, CO
  • NPI 1760909618
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1881045326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 VALMONT ROAD",
            "address_2": "STE 104",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011350",
            "telephone_number": "720-663-0163",
            "fax_number": "303-658-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 VALMONT ROAD",
            "address_2": "STE 104",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011350",
            "telephone_number": "720-663-0163",
            "fax_number": "303-658-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMBRELLA COLLECTIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "BROOKENS",
        "authorized_official_first_name": "LI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-663-0163",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000166630",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Ugalde, L.AC
• Rebecca Uli
• Jessica Ulrich
• Umbrella Collective Inc
• Umbrella Collective Inc
• Umwelt Center for Group Psychotherapy LLC
• Robert Unger, L.C.S.W., PH.D.
• University of Colorado Hospital Authority
• University of Colorado Hospital Authority
• University of Colorado, Boulder's Women's Mental Health & Wellness Cli

• Clinical Social Worker in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.