BLAISE RASTELLO CAC II NPI 1366981458

NPI Information

  • NPI: 1366981458
  • Provider Name: BLAISE RASTELLO, CAC II
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4475 BROADWAY ST LOT 51
    BOULDER, CO
    ZIP 80304
  • Phone: (720) 391-9951

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NPI Details

Blaise Rastello, CAC II is an addiction (substance use disorder) counselor in Boulder, CO. Blaise Rastello, CAC II NPI is 1366981458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4475 BROADWAY ST LOT 51
BOULDER, CO
ZIP 80304-350
Phone: (720) 391-9951

The NPI 1366981458 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/22/2017 and was last updated on 1/23/2023.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)ACD.0001086COLORADOYes

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: 3/30/2025

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