Individual provider Active NPI

Elizabeth Ann Maher, LPC

  • Professional Counselor
  • Boulder, CO
National Provider Identifier
1477019222
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0014488 Issued in CO
Practice address
4949 Broadway St Ste 201
Boulder, CO 80304-0578
Phone
(415) 513-9016
NPI assigned
Feb 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0014488 CO Primary

Addresses

Primary practice location

4949 Broadway St Ste 201
Boulder, CO 80304-0578

Mailing address

2525 Kittredge Loop Dr # 801
Boulder, CO 80310-1019
Phone (415) 513-9016

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
I20240205004275 CO Practitioner - Mental Health Counselor 8820431083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6680 Gunpark Dr
Boulder, CO 80301-3349
Phone (415) 513-9016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0014488COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Liz Maher, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

6680 Gunpark Dr
Boulder, CO 80301
Phone (415) 513-9016

Organizations & group practices 1

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": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1477019222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 KITTREDGE LOOP DR # 801",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803101019",
            "telephone_number": "415-513-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 BROADWAY ST STE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040578",
            "telephone_number": "415-513-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.