Prosopon

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PROSOPON

Practice address

100 Arapahoe Ave Ste 9
Boulder, CO 80302-5854

Phone

(303) 900-8378

NPI assigned

Jul 25, 2022

Last updated

Jul 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth C Long, LPC

Title

Owner

Phone

(512) 773-5269

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth L Rottman, LPC

  • Mental Health Counselor
  • Boulder, CO
  • NPI 1225636236
  Medicare reassignment NPD

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1184350019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARAPAHOE AVE STE 9",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025854",
            "telephone_number": "303-900-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARAPAHOE AVE STE 9",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025854",
            "telephone_number": "303-900-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSOPON",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-773-5269",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "liz@prosopontherapy.com",
            "affiliation": "N",
            "address_1": "100 Arapahoe Ave Ste 9",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803025854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dana Prosser, LPN
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• Elizabeth Prudlo
• Andrew L Pruitt, P.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.