Active NPI
Elaine Valetta Ptacek, LCPC
- Counselor
- Colby, KS
National Provider Identifier
1134323124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 022
- Practice address
- 270 North Franklin
Suite C
Colby, KS 67701-2322 - Phone
- (785) 460-7588
- Fax
- (785) 460-2396
- NPI assigned
- Jun 13, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 022 | KS | Primary |
Addresses
Primary practice location
270 North Franklin
Suite C
Colby, KS 67701-2322
Mailing address
270 North Franklin
Suite C
Colby, KS 67701-2322
Phone (785) 460-7588
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 |
|---|---|---|---|
| 022 | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Rural Counseling Serv Inc | Counselor | Past | Accepting new patients |
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": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134323124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 NORTH FRANKLIN",
"address_2": "SUITE C",
"city": "COLBY",
"state": "KS",
"postal_code": "677012322",
"telephone_number": "785-460-7588",
"fax_number": "785-460-2396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 NORTH FRANKLIN",
"address_2": "SUITE C",
"city": "COLBY",
"state": "KS",
"postal_code": "677012322",
"telephone_number": "785-460-7588",
"fax_number": "785-460-2396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PTACEK",
"first_name": "ELAINE",
"middle_name": "VALETTA",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KS",
"license": "022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.