Active NPI
Amanda Loughlin
- Mental Health Counselor
- Nederland, CO
National Provider Identifier
1952159709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0017437
- Practice address
- 60 Blue Spruce Rd S
Nederland, CO 80466-9729 - Phone
- (720) 391-8778
- NPI assigned
- May 7, 2024
- 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 | LPC.0017437 | CO | Primary |
Addresses
Primary practice location
60 Blue Spruce Rd S
Nederland, CO 80466-9729
Mailing address
60 Blue Spruce Rd S
Nederland, CO 80466-9729
Phone (720) 391-8778
Other practice location 1
4710 Table Mesa Dr
Boulder, CO 80305-4503
Phone (720) 310-0504
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0017437 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embodied Essence, PLLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1952159709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 BLUE SPRUCE RD S",
"city": "NEDERLAND",
"state": "CO",
"postal_code": "804669729",
"telephone_number": "720-391-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 BLUE SPRUCE RD S",
"city": "NEDERLAND",
"state": "CO",
"postal_code": "804669729",
"telephone_number": "720-391-8778"
}
],
"practiceLocations": [
{
"address_1": "4710 Table Mesa Dr",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803054503",
"country_code": "US",
"telephone_number": "720-310-0504",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOUGHLIN",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-07",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0017437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nederland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.