Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1932268786 Deactivated / Inactive NPI Female Practitioner

Sue Wallingford , MA, LPC, ATR-BC

Counselor - Professional • Boulder, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sue Wallingford has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 07, 2006
NPI Deactivation Date May 11, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Sue Wallingford, MA, LPC, ATR-BC was a registered Counselor - Professional practicing in Boulder, CO. Throughout an active medical career spanning 14 years, Sue Wallingford provided care at the practice location at 5378 STERLING DR until profile deactivation on 2020-05-11.

Practice Location & Contact Primary Location

Practice Address

5378 Sterling Dr

Boulder, CO 803012351

Telephone 3039467902
Associated Practice Facility / Clinic
🏢 Root Wellness Studio, Llc Facility NPI 1245665538

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 2736

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Silvan Erb-Summers

Counselor - Professional

NPI 1194159152
NPI 1194935809

Master of Arts, ATR

Kelly Giliotti

Acupuncturist

NPI 1497082259
Lisa Stone , LPC

Counselor - Mental Health

NPI 1497264790

Licensed Professional Counselor

Catherine Houston , LPC

Counselor - Professional

NPI 1679706287

Licensed Professional Counselor

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 11, 2020

Record deactivated on May 11, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5378 STERLING DR, BOULDER, CO 803012351 (Tel: 3039467902)

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Updated Business Mailing Address July 08, 2007

Registered at 5378 STERLING DR, BOULDER, CO 803012351 (Tel: 3039467902)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SUE WALLINGFORD, MA, LPC, ATR-BC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #2736 in CO)

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Initial NPI Registration & Enumeration December 07, 2006

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: 1932268786
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2006
Last Update: July 08, 2007
Deactivation Date: May 11, 2020

Mailing Address

5378 Sterling Dr

Boulder, CO 803012351

Phone: 3039467902

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.