Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356791834 Individual Practitioner Male Practitioner

Mark Anthony Dewolf , MA, LPC, NCC

Counselor - Professional • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Mark Dewolf, MA, LPC, NCC is a registered healthcare professional specializing in Counselor - Professional in Boulder, CO. Practice services are available at 3333 IRIS AVE STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3333 Iris Ave Ste 210

Boulder, CO 803011998

Telephone 9704701240

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

CMS Verified: 2023-07-05
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CO LPC.0015925

Definition to come...

Career & Practice History Timeline

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

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2023

Counselor (License #LPC.0015925 in CO)

📍
Updated Practice Location June 08, 2023

Registered at 3333 IRIS AVE STE 210, BOULDER, CO 803011998 (Tel: 9704701240)

👤
Provider Name / Credentials Updated June 08, 2023

Recorded as MARK DEWOLF, MA, LPC, NCC

NPI Profile Active August 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2017

Registered at 6366 FAIRWAYS DR, NIWOT, CO 805038312 (Tel: 9704701240)

📍
Updated Business Mailing Address August 03, 2017

Registered at 8050 NIWOT RD APT 3, NIWOT, CO 805038690 (Tel: (970) 470-1240)

👤
Provider Name / Credentials Updated August 03, 2017

Recorded as MARK DEWOLF

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2017

Counselor (License #LPCC.0015489 in CO)

NPI Profile Active November 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2016

Registered at 529 COFFMAN ST FL 2, LONGMONT, CO 805015450 (Tel: 3034028009)

📍
Updated Business Mailing Address November 14, 2016

Registered at 8050 NIWOT RD APT 3, NIWOT, CO 805038690 (Tel: 9704701240)

👤
Provider Name / Credentials Updated November 14, 2016

Recorded as MAHADEV DEWOLF

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 15, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Mark Dewolf. Be the first to share your experience!

Sign in to leave a review for Mark Dewolf

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1356791834
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2016
Last Update: July 05, 2023
Sole Proprietor: No

Mailing Address

8050 Niwot Rd Apt 3

Niwot, CO 805038690

Phone: 9704701240

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.