GWENDALINE DANIELLE THOREAUX M.A., L.P.C., C.A.C.
NPI 1912279233
Counselor - Professional in Boulder, CO

Q: What is Gwendaline Thoreaux's NPI number?

The NPI number for Gwendaline Thoreaux is 1912279233. It was assigned to this individual provider in the NPPES registry on February 1, 2012.

Q: What is Gwendaline Thoreaux's specialty?

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

Active since February 01, 2012PECOS Enrolled

1333 IRIS AVE, BOULDER, CO 80304(303) 443-0850 Get Directions Write a Review

NPPES record last updated: March 9, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gwendaline Danielle Thoreaux M.a., L.p.c., C.a.c. NPPES

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

GWENDALINE DANIELLE THOREAUX M.A., L.P.C., C.A.C. (NPI 1912279233) is an individual professional provider in Boulder, Colorado, licensed in Colorado (3210) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912279233

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameGWENDALINE DANIELLE THOREAUXCredential: M.A., L.P.C., C.A.C.

Location Address1333 IRIS AVEBoulder, CO 80304-2226

Mailing Address1333 Iris AveBoulder, CO 80304-2226 · (303) 443-8500

Phone(303) 443-0850

Sole ProprietorYes

Enumeration DateFebruary 1, 2012

Last NPPES UpdateMarch 9, 2015

✔ NPI 1912279233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CO · 3210

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 5880 (CO)

1333 IRIS AVE, Boulder, CO 80304

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gwendaline Danielle Thoreaux M.a., L.p.c., C.a.c. 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 20

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

CARLOS TRUJILLO

Counselor (Mental Health)