Organization Active NPI

Innerbloom Therapy

  • Speech-Language Pathologist
  • Woodland Park, CO
National Provider Identifier
1881206647
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
INNERBLOOM THERAPY
Practice address
400 W Midland Ave Ste 230
Woodland Park, CO 80863-3203
Phone
(719) 822-3807
NPI assigned
Aug 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Roshan Elizabeth Boese, MA CCC SLPNPI 1912297409
Title
Speech Therapist
Phone
(719) 822-3807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

400 W Midland Ave Ste 230
Woodland Park, CO 80863-3203

Mailing address

492 Gray Horse Cir
Woodland Park, CO 80863-8943
Phone (605) 759-2843

National Provider Directory

National Provider Directory

Locations

400 W Midland Ave
Ste 100D
Woodland Park, CO 80863

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1881206647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 GRAY HORSE CIR",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638943",
            "telephone_number": "605-759-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MIDLAND AVE STE 230",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633203",
            "telephone_number": "719-822-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERBLOOM THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "BOESE",
        "authorized_official_first_name": "ROSHAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SPEECH THERAPIST",
        "authorized_official_telephone_number": "719-822-3807",
        "authorized_official_credential": "MA CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.