INNER RADIANCE LLC (NPI# 1093315277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093315277 |
| Entity Type | Organization |
| Organization Name | INNER RADIANCE LLC |
| Practice Address |
4150 Darley Ave Ste 6 Boulder CO 80305-6537 |
| Mailing Address |
Po Box 3413 Boulder CO 80307-3413 |
| Practice Telephone | 7204412850 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | MARK SWART (OWNER) |
| Authorized Official Telephone | 7194801841 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Inner Radiance LLC | 4985 Moorhead Ave, #3413, Boulder, CO 80305 |
| Street Address |
4150 DARLEY AVE STE 6 |
| City | BOULDER |
| State | CO |
| Zip Code | 80305-6537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487935011 | Mark Swart | Counselor | 4150 Darley Ave Ste 6, Boulder, CO 80305-6537 | 2011-09-09 |
| 1568004273 | Rachel Anne Horner | Acupuncturist | 4150 Darley Ave Ste 6, Boulder, CO 80305-6537 | 2019-10-14 |
| 1326589185 | Ines Manteuffel | Massage Therapist | 4150 Darley Ave Ste 6, Boulder, CO 80305-6537 | 2017-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698923 | Carian Mclean | Registered Nurse | 1013 Berea Dr, Boulder, CO 80305 | 2017-06-08 |
| 1548629439 | Kimberly Norquist | Dental Hygienist | 661 S. Broadway St, Boulder, CO 80305 | 2016-02-19 |
| 1871981266 | Kathleen Anne Stone | Registered Nurse | 3680 Silver Plume Lane, Boulder, CO 80305 | 2015-01-07 |
| 1104235779 | Joyce Larson | Marriage & Family Therapist | 1190 S Lashley Ln, Boulder, CO 80305 | 2014-08-07 |
| 1982035788 | Virginia Pleasants Vandenbergh | Counselor | 4760 Ludlow St, Boulder, CO 80305 | 2013-12-03 |
| 1790992550 | Jasjit Singh Gill | Pharmacist | The Apothecary Pharmacy - University of Colorado, 350 Broadway Ste. 50, Boulder, CO 80305 | 2007-05-17 |
| 1477768299 | Stephen W Laycock | Dentist | 4150 Darley Ave., Suite 7, Boulder, CO 80305 | 2007-05-14 |
| 1871614560 | Steven Leslie Buffer | Dentist | 385 Broadway St, Boulder, CO 80305 | 2007-04-02 |
| 1801927793 | Jeffrey Dann | Acupuncturist | 3400 Table Mesa Drive, Ste. 205, Boulder, CO 80305 | 2007-03-09 |
| 1235292145 | Pharmaca Integrative Pharmacy | Exclusive Provider Organization | 645 South Boulder, Boulder, CO 80305 | 2006-12-19 |
| Find all providers in zip 80305 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984005 | Brilliantly Sane Counseling and Coaching LLC | Community/Behavioral Health | 1600 Bradley Ct, Boulder, CO 80305-7310 | 2020-05-19 |
| 1659761468 | Eve Byrnes, LLC | Community/Behavioral Health | 8778 Arapahoe Rd, Boulder, CO 80303-1677 | 2015-02-01 |
| 1336550235 | Living Well Transitions | Community/Behavioral Health | 1320 Pearl St Ste 320, Boulder, CO 80302-5370 | 2014-05-13 |
| 1578804068 | Valerie Grant Ltd. | Community/Behavioral Health | 3447 Iris Ct, Boulder, CO 80304-1827 | 2013-03-07 |
| 1699031062 | Attachment & Bonding Network | Community/Behavioral Health | 4141 Arapahoe Ave Ste 200, Boulder, CO 80303-1032 | 2012-04-10 |
| 1528336823 | Singer Group, Inc. | Community/Behavioral Health | 1790 30th St Ste 305, Boulder, CO 80301-1020 | 2011-12-01 |
| 1477792885 | Chrysalis Counseling | Community/Behavioral Health | 1790 30th St Ste 304, Boulder, CO 80301-1037 | 2009-02-09 |
| 1326217167 | Mental Health Center of Boulder | Community/Behavioral Health | 3400 Broadway St, Boulder, CO 80304-1824 | 2008-02-26 |
| 1174714265 | Lifetime Wellness, Inc. | Community/Behavioral Health | 1675 Upland Ave, Boulder, CO 80304-0830 | 2007-08-05 |
| 1649399817 | George A Garry | Community/Behavioral Health | 5884 N Orchard Creek Cir, Boulder, CO 80301-5834 | 2007-03-28 |
| Find all providers in BOULDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.