Active NPI
Caitlin Bovard
- Mental Health Counselor
- Broomfield, CO
National Provider Identifier
1912536558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCC.0016810
- Practice address
- 80 Garden Ctr Ste 108
Broomfield, CO 80020-1779 - Phone
- (720) 593-0253
- NPI assigned
- Apr 6, 2020
- Last updated
- Apr 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC.0016810 | CO | Primary |
Addresses
Primary practice location
80 Garden Ctr Ste 108
Broomfield, CO 80020-1779
Mailing address
80 Garden Ctr Ste 108
Broomfield, CO 80020-1779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Other | I DO NOT HAVE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | caitlin@authenticyoucounseling.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 27, 2026 through Feb 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0016810 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1912536558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 GARDEN CTR STE 108",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 GARDEN CTR STE 108",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201779",
"telephone_number": "720-593-0253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOVARD",
"first_name": "CAITLIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-06",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPCC.0016810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "I DO NOT HAVE",
"identifier": "000000000",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "caitlin@authenticyoucounseling.com",
"affiliation": "N",
"endpointDescription": "Email Address via Email with BAA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email Address via Email with BAA",
"address_1": "80 Garden Ctr Ste 108",
"city": "Broomfield",
"state": "CO",
"country_code": "US",
"postal_code": "800201779",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Broomfield, CO
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- Boulder Valley Gastroenterology Inc. (Gastroenterology of the Rockies)
- Boulder Valley Iom, LLC
- Bouldercentre for Orthopedics
- Franklin Leroy Bowling Jr., D.M.D.
- Nina Richardson Bowling, D.M.D.
- Alyson Evelyn Boyle
- Shannon Boyle, LPC
- Lauren Kaye Braaten, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.