Jennifer Lee Elliott, M.ED.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1519 Issued in CO

Practice address

823 S Perry St
St 100a
Castle Rock, CO 80104-1900

Phone

(303) 949-1087

Fax

(303) 681-0413

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Mato Sapa Trails LLC

  • Professional Counselor
  • Castle Rock, CO
  • NPI 1538891817
  NPD Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1093878449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 S PERRY ST",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041900",
            "telephone_number": "303-949-1087",
            "fax_number": "303-681-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 S PERRY ST",
            "address_2": "ST 100A",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041900",
            "telephone_number": "303-949-1087",
            "fax_number": "303-681-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "1519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Eisenbrown
• Elevated Pathology PLLC
• Elevation Vision OD PLLC
• Elite Anesthesia Concepts Inc
• Elizabeth Straka Speech Associates
• Melissa Elliott, RN
• Michael Curtis Miller Elliott
• Kim Ellison, P.T.A.
• Cynthia Ely, RN, CLNC
• David Edward Elzey

• Professional Counselor in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.