Active NPI
Elise Malone, MA, LPC
- Professional Counselor
- Greeley, CO
National Provider Identifier
1306554266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0020025
- 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
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 |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20221114498 | CO | MD | Mental Health Counselor |
| LPC.0020025 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Counseling & Consulting | Mental Health | Current | Accepting new patients |
| Specialty Counseling & Consulting | Mental Health | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.