NPIMap

Organization Active NPI

Healing Connections

  • Professional Counselor
  • Boulder, CO
National Provider Identifier
1881310167
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HEALING CONNECTIONS
Practice address
3731 Monterey PL
Boulder, CO 80301-1514
Phone
(720) 627-9959
NPI assigned
Oct 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Gertie BreffleNPI 1336619899
Title
Owner
Phone
(720) 627-9959

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

3731 Monterey PL
Boulder, CO 80301-1514

Mailing address

16505 Farmers Mine Rd
Paonia, CO 81428-7101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240405000024 CO Part B Supplier - Clinic/Group Practice 1759729023 Receives reassigned benefits from 7 practitioners
Practice locations: Boulder, CO

National Provider Directory

National Provider Directory
Tax ID family
Healing Connections LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

80 Garden Ctr
Ste 58
Broomfield, CO 80020
Phone (720) 507-3649

Practitioners & affiliated clinicians

Practitioners 7

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": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1881310167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16505 FARMERS MINE RD",
            "city": "PAONIA",
            "state": "CO",
            "postal_code": "814287101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 MONTEREY PL",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011514",
            "telephone_number": "720-627-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "BREFFLE",
        "authorized_official_first_name": "GERTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-627-9959"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.