Active NPI
Melissa Pizzo, LPC, MA
- Counselor
- Broomfield, CO
National Provider Identifier
1164901385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC.0014781
- Practice address
- 11775 Wadsworth Blvd Apt 9211
Broomfield, CO 80020-2794 - Phone
- (802) 272-6870
- NPI assigned
- Aug 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC.0014781 | CO | Primary |
Addresses
Primary practice location
11775 Wadsworth Blvd Apt 9211
Broomfield, CO 80020-2794
Mailing address
11775 Wadsworth Blvd Apt 9211
Broomfield, CO 80020-2794
Phone (802) 272-6870
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0014781 | CO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interconnections Counseling, LLC | 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.
-
- Counselor
- Broomfield, CO
- NPI 1447739107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1164901385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11775 WADSWORTH BLVD APT 9211",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800202794",
"telephone_number": "802-272-6870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11775 WADSWORTH BLVD APT 9211",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800202794",
"telephone_number": "802-272-6870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIZZO",
"first_name": "MELISSA",
"credential": "LPC, MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "LPC.0014781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.