Embodied Lotus LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EMBODIED LOTUS LLC

Practice address

2625 Redwing Rd Ste 370
Fort Collins, CO 80526-6314

Phone

(970) 818-2004

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Susanna TurnerNPI 1093481459

Title

Owner/Psychologist

Phone

(970) 818-2004

Specialties & licenses 1

Addresses

Other names 1

• Embodied Lotus Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susanna Jane Turner

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1093481459
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1609616457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 PARK ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805211825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 REDWING RD STE 370",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266314",
            "telephone_number": "970-818-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED LOTUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "970-818-2004"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embodied Lotus Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Elrod, OD
• Amel Elshiekh
• Kari Elste, PT, DPT
• Valerie Lyn Elwood
• Laurie Lynn Elwyn, M.D.
• Embracekids, a Professional LLC
• Emerge Therapy LLC
• Emergency Physicians of the Rockies, PC
• Emergency Physicians of the Rockies, PC
• Emergency Professionals of Colorado, PC

• Community/Behavioral Health Agency in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.