Elena Viktorovna Ermolova

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0014412 Issued in CO

Practice address

395 E Lionshead Cir
Vail, CO 81657-5354

Phone

(970) 476-0930

Fax

(970) 476-0535

NPI assigned

Jun 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1598179830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HORIZON DR STE 225",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 E LIONSHEAD CIR",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575354",
            "telephone_number": "970-476-0930",
            "fax_number": "970-476-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERMOLOVA",
        "first_name": "ELENA",
        "middle_name": "VIKTOROVNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-15",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Padab El-Alayli, CRNA, APN, RN
• Jamie Barrie Elchenko, M.D.
• Bryant P Elrick, MD, MS
• Douglas Emerson, PT, DPT, OCS, CMP
• Robert E Engelhart, DO
• Justin J Ernat, M.D.
• Pepper Knight Etters, PA-C
• Thomas A Evans, MD
• Stephanie Facchini, ATC
• Brittany Faison, PHARMD

• Professional Counselor in Vail, CO
• Providers in Vail, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.