Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALICIA ANKENMAN MA, LPC, SEP, BSP
NPI 1265666440
Counselor - Professional in Boulder, CO

Active since May 04, 2009Opted out of Medicare · through Jan 1, 2028
2730 29TH ST, BOULDER, CO 80301(541) 444-0983 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2026, Sep 5, 2025, Jul 3, 2025 and 6 more (9 updates tracked since 2019).

About Alicia Ankenman Ma, Lpc, Sep, Bsp NPPES

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

ALICIA ANKENMAN MA, LPC, SEP, BSP (NPI 1265666440) is an individual professional provider in Boulder, Colorado, licensed in Colorado (LPC.0021596) and active in the NPI registry since May 2009. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1265666440
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALICIA ANKENMANCredential: MA, LPC, SEP, BSP
Location Address2730 29TH STBoulder, CO 80301-1202
Mailing Address2730 29th StBoulder, CO 80301-1202 · (541) 444-0983
Sole ProprietorYes
Enumeration DateMay 4, 2009
Last NPPES UpdateJuly 9, 20269 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
NPI 1265666440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in CO · LPC.0021596 Licensed in OR · C2975
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C2975 (OR), LPC.0021596 (CO)
2730 29TH ST, Boulder, CO 80301

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Alicia Ankenman Ma, Lpc, Sep, Bsp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Occupational Therapist (Pediatrics)
2730 29TH ST
BOULDER, CO 80301
Specialist
2730 29TH ST
BOULDER, CO 80301

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 Alicia Ankenman's NPI number?

The NPI number for Alicia Ankenman is 1265666440. It was assigned to this individual provider in the NPPES registry on May 4, 2009.

Where is Alicia Ankenman located?

Alicia Ankenman practices at 2730 29th St, Boulder, CO 80301. The listed phone number is (541) 444-0983.

What is Alicia Ankenman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Alicia Ankenman enrolled in Medicare?

No. Alicia Ankenman has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Alicia Ankenman was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.