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Active NPI 1104317593 Individual Practitioner Female Practitioner

Alice Ditullio , CO LPC

Counselor - Professional • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Alice Ditullio, CO LPC is a registered healthcare professional specializing in Counselor - Professional in Boulder, CO. Practice services are available at 4855 EDISON AVE APT 213 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4855 Edison Ave Apt 213

Boulder, CO 803015429

Telephone 7202703515

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.4 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
345 Specialists

Practicing in Boulder, CO (7054 Statewide)

Telehealth Adoption Rate
1.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CO 0014405

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active May 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2018

Registered at 4855 EDISON AVE APT 213, BOULDER, CO 803015429 (Tel: 7202703515)

📍
Updated Business Mailing Address May 22, 2018

Registered at 4855 EDISON AVE APT 213, BOULDER, CO 803015429 (Tel: 7202703515)

👤
Provider Name / Credentials Updated May 22, 2018

Recorded as ALICE DITULLIO, CO LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2018

Counselor (License #0014405 in CO)

🟢
Initial NPI Registration & Enumeration May 22, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104317593
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2018
Last Update: May 22, 2018
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

4855 Edison Ave Apt 213

Boulder, CO 803015429

Phone: 7202703515

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.