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Alison Gothro

Psychologist β€’ Boulder, CO

Active NPI 1487039913 Individual Practitioner Female Practitioner
Practice location in NPPES

580 Mohawk Dr
Boulder, CO 803033712

Call 3033384545 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

580 Mohawk Dr

Boulder, CO 803033712

Telephone 3033384545
Organization at the Same NPPES Address or Phone
Kaiser Foundation Health Plan Of Colorado Facility NPI 1073627360

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Denver, CO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Alison Gothro has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Alison Gothro as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Boulder and Colorado

82 active clinicians are listed under Psychologist with a practice address in Boulder, CO (991 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boulder

12.2% of these 82 clinicians have the CMS telehealth indicator.

14.6% of these 82 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-04-26
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES CO PSY.0005720

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20220504002945

Enrollment State Jurisdiction

CO

PECOS Control ID

7618364951

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2450 S Vine St

Denver, CO 802105264

Phone: 3038713626

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

26 listed
Dr. Robert Burman , MD, PhD

Radiology - Diagnostic Radiology

NPI 1003013830

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Michelle Chen , MD

Internal Medicine

NPI 1003375908

Doctor of Medicine (M.D.)

Suzanne Ehler , FNP

Nurse Practitioner - Family

NPI 1003205295

Family Nurse Practitioner

Dr. Barry Eskins , MD

Internal Medicine - Hospice and Palliative Medicine

NPI 1013035971

Doctor of Medicine (M.D.)

Kristy Faulkner , NP

Nurse Practitioner - Family

NPI 1003177247

Nurse Practitioner

Sara Flanigan

Physician Assistant - Medical

NPI 1003171612

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location April 26, 2022

Registered at 580 MOHAWK DR, BOULDER, CO 803033712 (Tel: 3033384545)

πŸ“
Updated Business Mailing Address April 26, 2022

Registered at 10350 E DAKOTA AVE, DENVER, CO 802471314

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2022

Psychologist (license number reported to NPPES: CO PSY.0005720)

βœ…
NPI Profile Active July 27, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 27, 2015

Registered at 2450 S VINE ST, DENVER, CO 802105264 (Tel: 3038713626)

πŸ“
Business Mailing Address (Initial Record) July 27, 2015

Registered at 2450 S VINE ST, DENVER, CO 80208

πŸ‘€
Provider Name / Credentials (Initial Record) July 27, 2015

Recorded as ALISON GOTHRO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2015

Counselor

🟒
Initial NPI Registration & Enumeration July 27, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487039913
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2015
Last Update: April 26, 2022
Sole Proprietor: No

Other Psychologists in Boulder

All Psychologists in Boulder

Mailing Address

10350 E Dakota Ave

Denver, CO 802471314

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.