Elanvital Creative Journeys Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ELANVITAL CREATIVE JOURNEYS COUNSELING

Practice address

6964 N 79TH Street
#4
Niwot, CO 80503

Phone

(720) 556-3074

Fax

(866) 757-5778

NPI assigned

Nov 26, 2024

Organization subpart

No

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

Authorized official

Name

Elaan Brudno, LPC

Title

Owner/Clinician

Phone

(720) 556-3074

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1134945983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805443562",
            "telephone_number": "720-556-3074",
            "fax_number": "866-757-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6964 N 79TH STREET",
            "address_2": "#4",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "80503",
            "telephone_number": "720-556-3074",
            "fax_number": "866-757-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELANVITAL CREATIVE JOURNEYS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "BRUDNO",
        "authorized_official_first_name": "ELAAN",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "720-556-3074",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Niwot, CO
• Providers in Niwot, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.