Healthcare Provider Details

I. General information

NPI: 1275112534
Provider Name (Legal Business Name): HANNAH SCHAEFER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 BROADWAY STE T
BOULDER CO
80302-6218
US

IV. Provider business mailing address

1645 BROADWAY
BOULDER CO
80302-6218
US

V. Phone/Fax

Practice location:
  • Phone: 303-415-7443
  • Fax:
Mailing address:
  • Phone: 303-415-7443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0020500
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0020500
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: