Geneane Lazo, LPC
Individual provider Active NPI Professional Counselor · Johnstown, CO
NPI 1194223529 · NPPES record last updated Jul 22, 2024
Key facts
- NPI
- 1194223529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 16067 (CO)
- Practice address
- 4435 Ronald Reagan Blvd
Johnstown, CO 80534-6566 - Phone
- (970) 310-7706
- NPI assigned
- Jan 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16067 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchored by Grace Counseling, LLC | Current | Accepting new patients |
Locations
4435 Ronald Reagan Blvd
Loveland, CO 80534
Phone (970) 619-8139
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16067 | CO | Yes |
Addresses
Primary practice location
4435 Ronald Reagan Blvd
Johnstown, CO 80534-6566
Mailing address
4435 Ronald Reagan Blvd
Johnstown, CO 80534-6566
Phone (970) 310-7706
Other providers in Johnstown, CO
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- Matthew Krizek
- Molly A Lalonde
- Paul Anthony Langfield
- Indira S Lanig
- Dona Jean Leonard
- Kristin Kay Lewis
- Megan Lierz
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- Jinyi Ling
All providers in Johnstown, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.