Active NPI
Elianna Mondragon
- Behavior Technician
- Loveland, CO
National Provider Identifier
1306206479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1437 Denver Ave # 237
Loveland, CO 80538-5226 - Phone
- (510) 679-3545
- NPI assigned
- Mar 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACC 20837 | CO | |
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1437 Denver Ave # 237
Loveland, CO 80538-5226
Mailing address
1437 Denver Ave # 237
Loveland, CO 80538-5226
Other practice location 1
325 E 7th St
Loveland, CO 80537-4872
Phone (970) 663-2900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACC 20837 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1306206479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1437 DENVER AVE # 237",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805385226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1437 DENVER AVE # 237",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805385226",
"telephone_number": "510-679-3545"
}
],
"practiceLocations": [
{
"address_1": "325 E 7th St",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805374872",
"country_code": "US",
"telephone_number": "970-663-2900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONDRAGON",
"first_name": "ELIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-02",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACC 20837",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
- Rachel Jane Mommer, DNP, FNP, PMHNP
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- Monarch Dermatology & Surgery, LLC
- Sean Thomas Monarco, PHARM.D.
- Esther Liu Mondo, M.D.
- Bryant Monreal, BS
- Moore Plumbing & Home Improvement, Inc.
- Moore Vision P.C. Dba Premier Family Eyecare
- Claire S Moore, NP
- Diana Lynne Moore, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.