Individual provider Active NPI

Elise Malone, MA, LPC

  • Professional Counselor
  • Greeley, CO
National Provider Identifier
1306554266
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0020025 Issued in CO
Practice address
3257 W 20TH St Ste 200
Greeley, CO 80634-6550
Phone
(720) 672-4667
NPI assigned
Nov 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 20221114498 CO
Professional Counselor 101YP2500X LPC.0020025 CO Primary

Addresses

Primary practice location

3257 W 20TH St Ste 200
Greeley, CO 80634-6550

Mailing address

4025 Rawlins St
Cheyenne, WY 82001-1900
Phone (307) 426-4797

Other practice location 1

2550 Stover St Bldg C
Fort Collins, CO 80525-4641
Phone (970) 942-3031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20221114498COMDMental Health Counselor
LPC.0020025COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Counseling & Consulting Mental Health CurrentSince Oct 29, 2023 Accepting new patients
Specialty Counseling & Consulting Mental Health PastSince Oct 29, 2023 Accepting new patients

Locations

3257 W 20th St
Ste 200
Greeley, CO 80634
Phone (970) 481-1131

4025 Rawlins St
Cheyenne, WY 82001
Phone (307) 426-4797

Organizations & group practices 2

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": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1306554266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 RAWLINS ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011900",
            "telephone_number": "307-426-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 W 20TH ST STE 200",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346550",
            "telephone_number": "720-672-4667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 Stover St Bldg C",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805254641",
            "country_code": "US",
            "telephone_number": "970-942-3031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "ELISE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "20221114498",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0020025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.