Individual provider Active NPI

Tara Suzanne Stanley, LPCC

  • Counseling Psychologist
  • Boulder, CO
National Provider Identifier
1891358271
Registry record updated Apr 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LPCC.0015737 Issued in CO
Practice address
100 Arapahoe Ave Ste 12
Boulder, CO 80302-5862
Phone
(720) 276-1302
NPI assigned
Apr 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LPCC.0015737 CO Primary

Addresses

Primary practice location

100 Arapahoe Ave Ste 12
Boulder, CO 80302-5862

Mailing address

PO Box 454
Nederland, CO 80466-0454
Phone (720) 276-1302

Other practice location 1

3434 47th St Ste 100
Boulder, CO 80301-1817
Phone (720) 276-1302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPCC.0015737COMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1555804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555804800000",
    "number": "1891358271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "804660454",
            "telephone_number": "720-276-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARAPAHOE AVE STE 12",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025862",
            "telephone_number": "720-276-1302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 47th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803011817",
            "country_code": "US",
            "telephone_number": "720-276-1302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "TARA",
        "middle_name": "SUZANNE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-21",
        "last_updated": "2019-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "LPCC.0015737",
            "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 Apr 21, 2019; 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.