Active NPI
Michelle Lelis Wiley, MA LPC
- Professional Counselor
- Lafayette, CO
National Provider Identifier
1598064115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0012403
- Practice address
- 1455 Dixon Ave
Lafayette, CO 80026-8879 - Phone
- (303) 443-8500
- NPI assigned
- Mar 22, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0012403 | CO | Primary |
Addresses
Primary practice location
1455 Dixon Ave
Lafayette, CO 80026-8879
Mailing address
1455 Dixon Ave
Lafayette, CO 80026-8879
Phone (303) 443-8500
Other practice location 1
4141 E Dickenson Pl
Denver, CO 80222-6012
Phone (303) 504-3991
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0012403 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1598064115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 DIXON AVE",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800268879",
"telephone_number": "303-443-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 DIXON AVE",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800268879",
"telephone_number": "303-443-8500"
}
],
"practiceLocations": [
{
"address_1": "4141 E Dickenson Pl",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802226012",
"country_code": "US",
"telephone_number": "303-504-3991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILEY",
"first_name": "MICHELLE",
"middle_name": "LELIS",
"credential": "MA LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-22",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0012403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.