Individual provider Active NPI

Elizabeth Driscoll

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1508255282
Registry record updated Jan 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC.0014020 Issued in CO
Practice address
1501 Yarmouth Ave
Boulder, CO 80304-0564
Phone
(303) 786-9314
NPI assigned
Jan 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC.0014020 CO Primary

Addresses

Primary practice location

1501 Yarmouth Ave
Boulder, CO 80304-0564

Mailing address

1501 Yarmouth Ave
Boulder, CO 80304-0564

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
I20240513003548 CO Practitioner - Mental Health Counselor 7214378959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healingquest LLPGroup PAC ID 3072956887, 8 clinicians

Practice addresses (Care Compare)

3434 47TH St
Suite 130
Boulder, CO 80301-1802
Phone 3032252708100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCC.0014020COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healingquest LLC CurrentSince Apr 6, 2024 Accepting new patients
Windhorse Community Services Past Accepting new patients

Locations

3434 47th St
Ste 130
Boulder, CO 80301
Phone (303) 225-2708

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": "1421539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421539200000",
    "number": "1508255282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 YARMOUTH AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 YARMOUTH AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040564",
            "telephone_number": "303-786-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-18",
        "last_updated": "2015-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0014020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.