Active NPI
Elizabeth L Rottman, LPC
- Mental Health Counselor
- Boulder, CO
National Provider Identifier
1225636236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCC.0017858
- Practice address
- 100 Arapahoe Ave Ste 9
Boulder, CO 80302-5854 - Phone
- (512) 773-5269
- NPI assigned
- Oct 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC.0017858 | CO | Primary |
Addresses
Primary practice location
100 Arapahoe Ave Ste 9
Boulder, CO 80302-5854
Mailing address
100 Arapahoe Ave Ste 9
Boulder, CO 80302-5854
Phone (303) 900-8378
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lizlong@boulderemotionalwellness.com |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0017858 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosopon | Current | Accepting new patients |
Locations
100 Arapahoe Ave
Ste 9
Boulder, CO 80302
Phone (303) 900-8378
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.
-
- Professional Counselor
- Boulder, CO
- NPI 1184350019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1225636236",
"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": "512-773-5269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTTMAN",
"first_name": "ELIZABETH",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-12",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPCC.0017858",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lizlong@boulderemotionalwellness.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": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.