Active NPI
Elizabeth Ann Farris, LCSW, LAC
- Addiction (Substance Use Disorder) Counselor
- Colorado Springs, CO
National Provider Identifier
1114422136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- ACD.0001430
- Practice address
- 5455 N Union Blvd
Colorado Springs, CO 80918-2077 - Phone
- (719) 308-5450
- NPI assigned
- Mar 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | LSW.0009920946 | CO | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0001430 | CO | Primary |
Addresses
Primary practice location
5455 N Union Blvd
Colorado Springs, CO 80918-2077
Mailing address
5455 N Union Blvd
Colorado Springs, CO 80918-2077
Phone (719) 308-5450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003871328 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACD.0001430 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LSW.0009920946 | CO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beverly Hawpe and Associates, PC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Sunrise Counseling and Wellness | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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.
-
- Addiction (Substance Use Disorder) Counselor
- Colorado Springs, CO
- NPI 1740916048
Addiction (Substance Use Disorder)
-
- Addiction (Substance Use Disorder) Counselor
- Colorado Springs, CO
- NPI 1003871328
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1114422136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 N UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809182077",
"telephone_number": "719-308-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 N UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809182077",
"telephone_number": "719-308-5450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRIS",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "LCSW, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-30",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "LSW.0009920946",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACD.0001430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003871328",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.