Individual provider Active NPI

Leah Raulerson, LPC, NCC

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1104385517
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0014918 Issued in CO
Practice address
1720 South Bellaire Street,
Suite 710
Denver, CO 80222
Phone
(720) 232-0834
NPI assigned
Mar 15, 2019
Reactivated
Sep 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0014918 CO Primary

Addresses

Primary practice location

1720 South Bellaire Street,
Suite 710
Denver, CO 80222

Mailing address

3427 E 29TH Ave
Denver, CO 80205-5034
Phone (202) 642-2494

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
I20260513003307 CO Practitioner - Mental Health Counselor 8820567498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10565 Black Opal Rd
San Diego, CA 92127-4433

2642 E 21St St
Suite 175
Tulsa, OK 74114-1734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0014918COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Colorado LLC Mental Health CurrentSince Sep 29, 2024 Accepting new patients

Locations

1720 S Bellaire St
Ste 710
Denver, CO 80222
Phone (720) 232-0834

Organizations & group practices 2

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": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1104385517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 E 29TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055034",
            "telephone_number": "202-642-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SOUTH BELLAIRE STREET,",
            "address_2": "SUITE 710",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80222",
            "telephone_number": "720-232-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAULERSON",
        "first_name": "LEAH",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2024-09-26",
        "certification_date": "2020-06-25",
        "deactivation_date": "2020-06-25",
        "reactivation_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0014918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.