Organization Active NPI

Barefoot Soul Healing, LLC

  • Professional Counselor
  • Edwards, CO
National Provider Identifier
1972324911
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BAREFOOT SOUL HEALING, LLC
Practice address
69 Edwards Access Rd # 11a
Edwards, CO 81632-5184
Phone
(847) 370-4603
NPI assigned
Oct 22, 2024
Last updated
Oct 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Alexa MaestranziNPI 1386126316
Title
Owner
Phone
(847) 370-4603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

69 Edwards Access Rd # 11a
Edwards, CO 81632-5184

Mailing address

PO Box 6166
Avon, CO 81620-6166

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1972324911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6166",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816206166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 EDWARDS ACCESS RD # 11A",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816325184",
            "telephone_number": "847-370-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAREFOOT SOUL HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "MAESTRANZI",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-370-4603"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.