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RAEGAN ELIZABETH GRANT
NPI 1174134647
Counselor - Mental Health in Boulder, CO

Active since August 10, 2020
1942 BROADWAY STE 314C, BOULDER, CO 80302(720) 213-8142 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2024, Aug 10, 2020 (2 updates tracked since 2020).

About Raegan Elizabeth Grant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAEGAN ELIZABETH GRANT (NPI 1174134647) is an individual mental health provider in Boulder, Colorado, licensed in Colorado (LPCC.0019525) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1174134647
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRAEGAN ELIZABETH GRANT
Location Address1942 BROADWAY STE 314CBoulder, CO 80302-5233
Mailing Address60 S Boulder Cir Apt 6015Boulder, CO 80303-4287 · (720) 213-8142
Phone(720) 213-8142
Sole ProprietorNo
Enumeration DateAugust 10, 2020
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1174134647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · LPCC.0019525
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1942 BROADWAY STE 314C, Boulder, CO 80302
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHRYN WRIGHT
Counselor (Professional)
1942 BROADWAY STE 314C
BOULDER, CO 80302
Boulder County (720) 663-0954
INNER PATH THERAPY PLLC
Social Worker (Clinical)
1942 BROADWAY STE 314C
BOULDER, CO 80302
Boulder County (720) 213-8717
DONOVAN SCOTT GOLDING LPC
Counselor (Mental Health)
1942 BROADWAY STE 314C
BOULDER, CO 80302
Boulder County (720) 236-5433
SIMPLE ASSENT, LLC
Behavior Analyst
1942 BROADWAY STE 314C
BOULDER, CO 80302
Boulder County (720) 778-0218
MEGAN MACKENZIE LCSW
Social Worker (Clinical)
1942 BROADWAY STE 314C
BOULDER, CO 80302
Boulder County (720) 338-8599
KYRSTIN CLARE LSW
Social Worker (Clinical)
1942 BROADWAY STE 314C
BOULDER, CO 80302
Boulder County (586) 536-2769
MADDOX NUTRITION LLC
Dietitian, Registered
1942 BROADWAY STE 314C
BOULDER, CO 80302
Boulder County (719) 445-9573
SARAH ALEXANDRA TYDINGS MS
Nutritionist
1942 BROADWAY STE 314C
BOULDER, CO 80302
Boulder County (985) 789-3055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raegan Grant's NPI number?

The NPI number for Raegan Grant is 1174134647. It was assigned to this individual provider in the NPPES registry on August 10, 2020.

Where is Raegan Grant located?

Raegan Grant practices at 1942 Broadway Ste 314C, Boulder, CO 80302. The listed phone number is (720) 213-8142.

What is Raegan Grant's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Raegan Grant was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.