Boberian Basix, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

977011 Issued in CO

Legal business name

BOBERIAN BASIX, INC

Practice address

8795 Ralston Rd Ste 126
Arvada, CO 80002-2320

Phone

(303) 456-0611

Fax

(303) 487-4950

NPI assigned

Apr 16, 2011

Organization subpart

No

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

Authorized official

Name

Julie Haberer

Title

Billing Person

Phone

(303) 487-4943

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302912000000",
    "number": "1902196520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8795 RALSTON RD STE 126",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022320",
            "telephone_number": "303-456-0611",
            "fax_number": "303-487-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8795 RALSTON RD STE 126",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022320",
            "telephone_number": "303-456-0611",
            "fax_number": "303-487-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBERIAN BASIX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-16",
        "last_updated": "2011-04-16",
        "status": "A",
        "authorized_official_last_name": "HABERER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "BILLING PERSON",
        "authorized_official_telephone_number": "303-487-4943"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "977011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Arvada, CO
• Providers in Arvada, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2011; 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.