Individual provider Active NPI

Elizabeth Wilson, MS

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1215289079
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1212 S Broadway
Suite # 200
Denver, CO 80210-1582
Phone
(720) 284-8582
NPI assigned
Oct 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1212 S Broadway
Suite # 200
Denver, CO 80210-1582

Mailing address

1212 S Broadway
Suite # 200
Denver, CO 80210-1582
Phone (720) 284-8582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240719003226 CO Practitioner - Mental Health Counselor 7416493903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reflective Wellness Mind and BodyGroup PAC ID 5294176186, 6 clinicians

Practice addresses (Care Compare)

13731 E Rice PL
Suite 200
Aurora, CO 80015-1077
Phone (720) 949-1707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0013511COMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reflective Wellness Mind and Body Mental Health CurrentSince Jul 9, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1215289079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S BROADWAY",
            "address_2": "SUITE # 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101582",
            "telephone_number": "720-284-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S BROADWAY",
            "address_2": "SUITE # 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101582",
            "telephone_number": "720-284-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ELIZABETH",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.