Active NPI
Elisabeth Anne Treger
- Mental Health Counselor
- Boulder, CO
National Provider Identifier
1316703523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCC.0021784
- Practice address
- 3434 47TH St Ste 130
Boulder, CO 80301-1802 - Phone
- (312) 404-2482
- NPI assigned
- Feb 26, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC.0021784 | CO | Primary |
Addresses
Primary practice location
3434 47TH St Ste 130
Boulder, CO 80301-1802
Mailing address
3000 Palo Pkwy
Boulder, CO 80301-3699
Phone (312) 404-2482
Other practice location 1
3000 Palo Pkwy
Boulder, CO 80301-3699
Phone (312) 404-2482
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 |
|---|---|---|---|
| LPCC.0021784 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1316703523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 PALO PKWY",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013699",
"telephone_number": "312-404-2482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3434 47TH ST STE 130",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011802",
"telephone_number": "312-404-2482"
}
],
"practiceLocations": [
{
"address_1": "3000 Palo Pkwy",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803013699",
"country_code": "US",
"telephone_number": "312-404-2482",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TREGER",
"first_name": "ELISABETH",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPCC.0021784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.