Patricia Suzanne Esperon
Individual provider Active NPI Professional Counselor · Eagle, CO
NPI 1295072874 · NPPES record last updated May 10, 2023
Key facts
- NPI
- 1295072874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC.0018712 (CO)
- Practice address
- 258 Tanager Circle
Eagle, CO 81631-8163 - Phone
- (970) 390-1906
- NPI assigned
- Jan 15, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 5606
Eagle, CO 81631
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240506001475 | CO | Practitioner - Mental Health Counselor | 5698115798 | Practice locations: Eagle, CO |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACD.0001860 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LPC.0018712 | CO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Professional Counselor | 101YP2500X | LPC.0018712 | CO | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0001860 | CO |
Addresses
Primary practice location
258 Tanager Circle
Eagle, CO 81631-8163
Mailing address
PO Box 5606
Eagle, CO 81631-5606
Phone (970) 390-1906
NPI Registry JSON
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1295072874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5606",
"city": "EAGLE",
"state": "CO",
"postal_code": "816315606",
"telephone_number": "970-390-1906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 TANAGER CIRCLE",
"city": "EAGLE",
"state": "CO",
"postal_code": "816318163",
"telephone_number": "970-390-1906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPERON",
"first_name": "PATRICIA",
"middle_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-15",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0018712",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACD.0001860",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle, CO
- Eagle Valley Behavioral Health
- Eagle Valley Vision, P.C.
- Susan Elizabeth Elliott
- Janet M Engle
- Susan Engle
- Tarsis Anahi Fernandez
- Molly Fiore
- David Scott Foster
- Nadia Daniela Garcia
- Elizabeth Claire Genereux
All providers in Eagle, 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 May 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.