Individual provider Active NPI

Mikayla Raisch, LAC, LPC

  • Professional Counselor
  • Littleton, CO
National Provider Identifier
1023347002
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6553 Issued in CO
Practice address
61 W Davies Ave N
Littleton, CO 80120-5252
Phone
(303) 730-8858
NPI assigned
Dec 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0000218 CO
Professional Counselor 101YP2500X 6553 CO Primary

Addresses

Primary practice location

61 W Davies Ave N
Littleton, CO 80120-5252

Mailing address

116 Inverness Dr E Ste 105
Englewood, CO 80112-5125
Phone (303) 730-8858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231226001759 CO Practitioner - Mental Health Counselor 1153771688 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0000218COMDAddiction (Substance Use Disorder) Counselor
6553COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

155 Inverness Dr W
Ste 100
Englewood, CO 80112
Phone (303) 779-9676

116 Inverness Dr E
Ste 105
Englewood, CO 80112

61 W Davies Ave N
Littleton, CO 80120
Phone (303) 797-9420

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

10350 Dransfeldt Rd
Parker, CO 80134
Phone (303) 597-3860

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1023347002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 INVERNESS DR E STE 105",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125125",
            "telephone_number": "303-730-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 W DAVIES AVE N",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205252",
            "telephone_number": "303-730-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISCH",
        "first_name": "MIKAYLA",
        "credential": "LAC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000218",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "6553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.