Healthcare Provider Details

I. General information

NPI: 1386587954
Provider Name (Legal Business Name): HEIDI SCHUFFERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2735 IRIS AVE # C-3
BOULDER CO
80304-2436
US

IV. Provider business mailing address

1995 E COALTON RD APT 53-107
SUPERIOR CO
80027-4496
US

V. Phone/Fax

Practice location:
  • Phone: 720-310-0319
  • Fax:
Mailing address:
  • Phone: 708-941-0850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: