Individual provider Active NPI

Tamara Anne Herlitzka-Austin, LMFT, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Evergreen, CO
National Provider Identifier
1184848962
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
125 Issued in CO
Practice address
4711 Forest Hill Rd
Evergreen, CO 80439-5713
Phone
(303) 697-0560
NPI assigned
Apr 12, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 125 CO Primary
Marriage & Family Therapist 106H00000X 735 CO

Addresses

Primary practice location

4711 Forest Hill Rd
Evergreen, CO 80439-5713

Mailing address

4711 Forest Hill Rd
Evergreen, CO 80439-5713
Phone (303) 697-0560

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

LicenseStateTypeSpecialty
125COMDClinical Social Worker
735COMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1184848962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 FOREST HILL RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804395713",
            "telephone_number": "303-697-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 FOREST HILL RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804395713",
            "telephone_number": "303-697-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERLITZKA-AUSTIN",
        "first_name": "TAMARA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LMFT, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "125",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.