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ALICE ANNE BOERTJE MA, LPC, NCC
NPI 1205478468
Counselor - Mental Health in Colorado Springs, CO

Active since October 09, 2019PECOS Enrolled
128 S TEJON ST STE 405, COLORADO SPRINGS, CO 80903(312) 369-9422(719) 755-4662 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2025, Sep 2, 2023, Oct 9, 2019 (3 updates tracked since 2019).

About Alice Anne Boertje Ma, Lpc, Ncc NPPES

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

ALICE ANNE BOERTJE MA, LPC, NCC (NPI 1205478468) is an individual mental health provider in Colorado Springs, Colorado, licensed in Colorado (LPC.0019250) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205478468
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALICE ANNE BOERTJECredential: MA, LPC, NCC
Location Address128 S TEJON ST STE 405Colorado Springs, CO 80903-2212
Mailing Address128 S Tejon St Ste 405Colorado Springs, CO 80903-2212 · (312) 369-9422 · Fax (719) 755-4662
Phone(312) 369-9422
Fax(719) 755-4662
Sole ProprietorNo
Enumeration DateOctober 9, 2019
Last NPPES UpdateNovember 10, 20253 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1205478468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in CO · LPC.0019250✔ Licensed in IL · 180.014114
128 S TEJON ST STE 405, Colorado Springs, CO 80903
Open in Google Maps ↗

Other Identifiers 2

OtherLPC.0019250CO · State Board Of Licensed Professional Counseling Examiners
Other180.014114IL · Lcpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alice Anne Boertje Ma, Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

JESSICA HAUSMANN LPCC
Counselor (Mental Health)
128 S TEJON ST STE 405
COLORADO SPRINGS, CO 80903
El Paso County (719) 781-2172
FORMATION COUNSELING CENTER
Counselor (Mental Health)
128 S TEJON ST STE 405
COLORADO SPRINGS, CO 80903
El Paso County (312) 369-9422
KIMBERLY TOVAR STUDENT
Counselor (Mental Health)
128 S TEJON ST STE 405
COLORADO SPRINGS, CO 80903
El Paso County (719) 781-2172
SARAH ANGELL
Counselor (Mental Health)
128 S TEJON ST STE 405
COLORADO SPRINGS, CO 80903
El Paso County (719) 360-1012

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 Alice Boertje's NPI number?

The NPI number for Alice Boertje is 1205478468. It was assigned to this individual provider in the NPPES registry on October 9, 2019.

Where is Alice Boertje located?

Alice Boertje practices at 128 S Tejon St Ste 405, Colorado Springs, CO 80903. The listed phone number is (312) 369-9422.

What is Alice Boertje's specialty?

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

Is Alice Boertje enrolled in Medicare?

Yes. Alice Boertje is registered in the Medicare PECOS enrollment system.

What insurance does Alice Boertje accept?

Health plans from Providence Health Plan list Alice Boertje as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alice Boertje was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.