Individual provider Active NPI

Elizabeth Eileen Nevers, L.P.C., L.C.M.F.T.

  • Professional Counselor
  • Boulder, CO
National Provider Identifier
1306919220
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0013512 Issued in CO
Practice address
4790 Table Mesa Dr
Boulder, CO 80305-5600
Phone
(720) 428-9240
Fax
(913) 438-3881
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 042 KS
Professional Counselor 101YP2500X 0013512 CO Primary

Addresses

Primary practice location

4790 Table Mesa Dr
Boulder, CO 80305-5600

Mailing address

8034 Anchor Dr
Longmont, CO 80504-7769
Phone (913) 206-3830

Other names 1

  • Ms. Eileen Nevers Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260318002995 CO Practitioner - Mental Health Counselor 1355824558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4790 Table Mesa Dr
Suite 202
Boulder, CO 80305-5660
Phone (720) 263-0334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042KSMDAddiction (Substance Use Disorder) Counselor
0013512COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Inward Counseling LLC Marriage & Family Therapist Current Accepting new patients
Journey Inward Counseling LLC Professional CurrentSince Mar 1, 2026 Accepting new patients

Locations

4790 Table Mesa Dr
Ste 202
Boulder, CO 80305
Phone (303) 444-0840

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1306919220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8034 ANCHOR DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805047769",
            "telephone_number": "913-206-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 TABLE MESA DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055600",
            "telephone_number": "720-428-9240",
            "fax_number": "913-438-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVERS",
        "first_name": "ELIZABETH",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "L.P.C., L.C.M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "042",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0013512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "NEVERS",
            "prefix": "MS.",
            "credential": "L.P.C.,  L.C.M.F.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.