NPI 1003067083 · Counselor · Anthem
Moderate evidence supports active practice with 3 carrier network listings and verified licensure.
NPPES
BOULDER, 80301
Freshness: Stale (last updated 2008-10-08)
6,358 days since update
Network Status
Listed with 4 carriers
DORA License
Active
Medicare
Non-Medicare specialty
Care Compare
No Care Compare data
PECOS Enrollment
No PECOS data
Active NPI with specialty classification
Active Colorado DORA license confirmed
No Medicare billing · No electronic endpoint · No PECOS enrollment
Single address source (NPPES)
Limited carrier network presence
3 networks across 2 carriers
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.