Individual provider Active NPI

Joy Eilythia Misra, PH.D., LPC.

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1255560348
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C3916 Issued in OR
Practice address
2525 Arapahoe Ave
Boulder, CO 80302-6720
Phone
(970) 406-4695
Fax
(458) 206-7433
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C3916 OR Primary
Mental Health Counselor 101YM0800X 068.0134396 VT
Mental Health Counselor 101YM0800X LPC.0020529 CO

Addresses

Primary practice location

2525 Arapahoe Ave
Boulder, CO 80302-6720

Mailing address

PO Box 1662
Bend, OR 97709-1662
Phone (541) 945-3201

Other practice location 1

2049 NW Hoyt St
Portland, OR 97209-1260
Phone (541) 945-3201

Other names 1

  • Joy Eilythia Professional name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC.0020529COMDMental Health Counselor
C3916ORMDMental Health Counselor
068.0134396VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ananda Psychotherapy Mental Health CurrentSince Feb 18, 2024 Accepting new patients

Locations

19820 Village Office Ct
Bend, OR 97702
Phone (458) 221-9848

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1255560348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1662",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977091662",
            "telephone_number": "541-945-3201",
            "fax_number": "458-206-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 ARAPAHOE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026720",
            "telephone_number": "970-406-4695",
            "fax_number": "458-206-7433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2049 NW Hoyt St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972091260",
            "country_code": "US",
            "telephone_number": "541-945-3201",
            "fax_number": "458-206-7433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EILYTHIA MISRA",
        "first_name": "JOY",
        "credential": "PH.D., LPC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3916",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134396",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0020529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "EILYTHIA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Nov 21, 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.