Individual provider Active NPI

Elizabeth Gail Danaceau, MA, LPC

  • Professional Counselor
  • Greenwood Village, CO
National Provider Identifier
1063581460
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0003180 Issued in CO
Practice address
7400 E Crestline Cir Ste 145
Greenwood Village, CO 80111-3656
Phone
(303) 756-7171
Fax
(303) 756-7172
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3180 CO
Professional Counselor 101YP2500X LPC.0003180 CO Primary

Addresses

Primary practice location

7400 E Crestline Cir Ste 145
Greenwood Village, CO 80111-3656

Mailing address

5181 E Fair Dr
Centennial, CO 80121-3413
Phone (303) 717-3963

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
I20240914000736 CO Practitioner - Mental Health Counselor 4183164379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tiger and Bolt Managed Services, LLCGroup PAC ID 3173993011, 7 clinicians

Practice addresses (Care Compare)

7400 E Crestline Cir
Suite 145
Greenwood Village, CO 80111-3656
Phone (720) 706-1944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3180COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tiger & Bolt Managed Services, LLC Mental Health CurrentSince Sep 4, 2024 Accepting new patients

Locations

7400 E Crestline Cir
Ste 145
Greenwood Village, CO 80111
Phone (720) 446-5086

Organizations & group practices 1

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1063581460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5181 E FAIR DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801213413",
            "telephone_number": "303-717-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E CRESTLINE CIR STE 145",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113656",
            "telephone_number": "303-756-7171",
            "fax_number": "303-756-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANACEAU",
        "first_name": "ELIZABETH",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-08-06",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "3180",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0003180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.