CARRIE BLOETHNER (NPI# 1689084238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689084238 |
| Entity Type | Individual |
| Full Name | CARRIE BLOETHNER |
| Practice Address |
1333 Iris Ave. Boulder CO 80304 |
| Mailing Address |
1333 Iris Ave Boulder CO 80304-2226 |
| Practice Telephone | 3034438500 |
| Mailing Telephone | 3034438500 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2017-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1333 IRIS AVE. |
| City | BOULDER |
| State | CO |
| Zip Code | 80304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235491366 | Karen Vanzuiden | Counselor | 1333 Iris Ave., Boulder, CO 80304 | 2012-06-14 |
| 1922525690 | Stephanie Michelle Cosca | Social Worker | 1333 Iris Ave., Boulder, CO 80304 | 2017-08-24 |
| 1124472576 | Bradley W. Buikema | Marriage & Family Therapist | 1333 Iris Ave., Mental Health Partners of Boulder County, Boulder, CO 80304-5449 | 2016-04-21 |
| 1912390360 | Michele Pimenta | Counselor | 1333 Iris Ave., Boulder, CO 80304-4503 | 2015-03-10 |
| 1477999761 | Suzanne Keston | Social Worker | 1333 Iris Ave., Mental Health Partners, Boulder, CO 80304-2296 | 2013-05-14 |
| 1316291230 | Amanda Elizabeth Smith | Counselor | 1333 Iris Ave., Boulder, CO 80304-2226 | 2012-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063917862 | Amber Ivanova | Counselor | 2525 13th St Ste 200, Boulder, CO 80304-4104 | 2018-03-26 |
| 1326586116 | Alicia Hagge | Counselor | 3050 Broadway St Unit 3, Boulder, CO 80304-3154 | 2017-02-01 |
| 1811351091 | Ashlee Ackelson | Counselor | 5277 Manhattan Cir Ste 114, Boulder, CO 80303-8200 | 2016-04-13 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| 1326453341 | Rhae Birmingham | Counselor | 1634 Walnut St Ste 221, Boulder, CO 80302-5400 | 2014-06-27 |
| 1467867952 | John Mccollum | Counselor | 3450 Broadway, Boulder, CO 80304-1899 | 2014-06-24 |
| 1871908244 | Robert Emmer | Counselor | 3450 Broadway St., Boulder, CO 80304-1899 | 2014-06-24 |
| 1316352958 | Alexis Mitsuko Kamakanoe Ornellas | Counselor | 2635 Mapleton Ave Lot 24, Boulder, CO 80304-3828 | 2014-06-23 |
| 1538580261 | Natsumi Minagawa | Counselor | 1800 30th St Ste 308, Boulder, CO 80301-1026 | 2013-12-24 |
| 1821419904 | Cassandra Field | Counselor | 954 North St Unit 308, Boulder, CO 80304-3420 | 2013-12-17 |
| 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.