AUTUMN TREE THERAPY
NPI 1750812889
Social Worker - Clinical in Boulder, CO
About Autumn Tree Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN TREE THERAPY (NPI 1750812889) is a healthcare organization registered as a clinical in Boulder, Colorado and active in the NPI registry since March 2017. The organization lists Carley Cohen-fox, Clinician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Autumn Tree Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Autumn Tree Therapy, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Autumn Tree Therapy's NPI number?
The NPI number for Autumn Tree Therapy is 1750812889. It was assigned to this organization in the NPPES registry on March 21, 2017.
Where is Autumn Tree Therapy located?
Autumn Tree Therapy is located at 2935 Baseline Rd Ste. 302, Boulder, CO 80303. The listed phone number is (303) 875-2364.
What is Autumn Tree Therapy's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Autumn Tree Therapy enrolled in Medicare?
Yes. Autumn Tree Therapy is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Autumn Tree Therapy?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Autumn Tree Therapy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Autumn Tree Therapy was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Autumn Tree Therapy · NPI 1750812889
Clinical organization in Boulder, Colorado. Organization record, active in the CMS NPPES registry since March 21, 2017.
## Identity
- **NPI:** 1750812889 (Entity type: Organization)
- **Enumerated:** March 21, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Carley Cohen-Fox, CLINICIAN/OWNER
## Practice location
- **Address:** 2935 BASELINE RD, STE. 302, Boulder, CO 80303-2366
- **Phone:** (303) 875-2364
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2017
- **Other identifiers:** Medicaid 54105081 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1750812889) · Data from the CMS NPPES public registry.