ALICE ANNE BOERTJE MA LPC NCC NPI 1205478468

NPI Information

NPI: 1205478468
Provider Name: ALICE ANNE BOERTJE, MA, LPC, NCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
130 E MONUMENT ST STE 200
COLORADO SPRINGS, CO
ZIP 80903
Phone: (312) 369-9422
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Alice Anne Boertje, MA, LPC, NCC is a mental health counselor in Colorado Springs, CO. Alice Anne Boertje, MA, LPC, NCC NPI is 1205478468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 E MONUMENT ST STE 200
COLORADO SPRINGS, CO
ZIP 80903-061
Phone: (312) 369-9422

The enumeration date for this NPI number is 10/9/2019 and was last updated on 1/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	180.014114	ILLINOIS	No
2	101YM0800X	Counselor	Mental Health	LPC.0019250	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LPC.0019250	OTHER	COLORADO	STATE BOARD OF LICENSED PROFESSIONAL COUNSELING EXAMINERS
2	180.014114	OTHER	ILLINOIS	LCPC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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