MS. GLENDA RUSSELL O'ROURKE (NPI# 1003067083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003067083 |
| Entity Type | Individual |
| Full Name | MS. GLENDA RUSSELL O'ROURKE |
| Other Name | MS. GLENDA SUE RUSSELL |
| Credential | LPC |
| Practice Address |
4716 Ashfield Ct Boulder CO 80301 |
| Practice Telephone | 3034439446 |
| Practice Fax Number | 3034472173 |
| Mailing Telephone | 3034439446 |
| Mailing Fax Number | 3034472173 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC-1240 | CO | Behavioral Health & Social Service Providers |
| Street Address |
4716 ASHFIELD CT |
| City | BOULDER |
| State | CO |
| Zip Code | 80301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121107 | Eric Remza | Counselor | 3434 47th St Ste 130, Boulder, CO 80301-1802 | 2020-10-12 |
| 1851905806 | Hilah Neisha Remaily | Counselor | 1610 Lee Hill Rd, Boulder, CO 80304-0881 | 2020-09-06 |
| 1326650409 | Charlotte Elizabeth Irving | Counselor | 3850 Paseo Del Prado Apt 9, Boulder, CO 80301-1547 | 2020-08-19 |
| 1750921425 | Chelsey A Langlinais | Counselor | 3025 Broadway St Apt 7, Boulder, CO 80304-3139 | 2020-01-10 |
| 1174170815 | Brian Kim LLC | Counselor | 3035 Oneal Pkwy Apt V15, Boulder, CO 80301-1421 | 2019-08-19 |
| 1164083150 | Rachael L Bonaiuto | Counselor | 1800 30th St Ste 218b, Boulder, CO 80301-1006 | 2019-06-21 |
| 1659840635 | Alexandra Jean Hawes | Counselor | 1015 Utica Ave, Boulder, CO 80304-0718 | 2018-11-19 |
| 1588142079 | James O'geary | Counselor | 2249 Willard Loop Dr 104 Ucb, Boulder, CO 80309-3218 | 2018-08-06 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1891210068 | Bridget Borsdorf | Counselor | 825 S Broadway St Ste 50, Boulder, CO 80305-5932 | 2017-08-09 |
| 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.