ELLEN SEVIGNY (NPI# 1174014922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174014922 |
| Entity Type | Individual |
| Full Name | ELLEN SEVIGNY |
| Credential | MA |
| Practice Address |
726 Pearl St Ste C Boulder CO 80302-3609 |
| Mailing Address |
2201 Pearl St Apt 319 Boulder CO 80302-4683 |
| Practice Telephone | 1207664922 |
| Mailing Telephone | 2076649220 |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2018-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | NLC.0108363 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | REGISTERED PSYCHOTHERAPIST | NLC.0108363 | 01 |
| Street Address |
726 PEARL ST STE C |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508174293 | Erika Weich | Acupuncturist | 726 Pearl St Ste C, Boulder, CO 80302-3609 | 2010-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| 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.