The Other Therapy Online, LLC
NPI 1063192276ActiveOrganization· Counselor, Professional· Boulder, CO
Counselor, Professional in Boulder, Colorado, registered in NPPES in July 2023. The authorized official on file is Trevor Brown, Ceo.
Overview
| NPI | 1063192276 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 21, 2023 |
| Last updated in NPPES | Jul 21, 2023 |
| Certified by provider | Jul 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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