Individual provider Active NPI

Nyle Biondi, MS LMFT

  • Marriage & Family Therapist
  • Boulder, CO
National Provider Identifier
1912232612
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0001236 Issued in CO
Practice address
1800 30TH St Ste 304
Boulder, CO 80301-1026
Phone
(608) 219-1744
Fax
(720) 729-0041
NPI assigned
Oct 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0001236 CO Primary
Marriage & Family Therapist 106H00000X 829-124 WI

Addresses

Primary practice location

1800 30TH St Ste 304
Boulder, CO 80301-1026

Mailing address

541 Lincoln Ave
Louisville, CO 80027-1919
Phone (608) 219-1744

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0001236COMDMarriage & Family Therapist
829-124WIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1912232612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 LINCOLN AVE",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271919",
            "telephone_number": "608-219-1744",
            "fax_number": "720-729-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 30TH ST STE 304",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011026",
            "telephone_number": "608-219-1744",
            "fax_number": "720-729-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIONDI",
        "first_name": "NYLE",
        "credential": "MS LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-14",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0001236",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "829-124",
            "primary": false
        }
    ],
    "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 Sep 15, 2015; 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.