Individual provider Active NPI

Julie A Atabe, MSE, LPC

  • Professional Counselor
  • Erie, CO
National Provider Identifier
1639211303
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0016604 Issued in CO
Practice address
2140 Meadow Sweet LN
Erie, CO 80516-6501
Phone
(920) 209-9149
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3360-125 WI
Professional Counselor 101YP2500X LPC-22571 AZ
Professional Counselor 101YP2500X LPC.0016604 CO Primary

Addresses

Primary practice location

2140 Meadow Sweet LN
Erie, CO 80516-6501

Mailing address

777 29TH St Ste 500
Boulder, CO 80303-2357
Phone (920) 209-9149

Other identifiers 4

IdentifierTypeStateIssuer
LPC.0016604OtherCOSTATE OF CO LPC LICENSE
41009400MedicaidWI
3360-125OtherWISTATE OF WI LPC LICENSURE
LPC-22571OtherAZSTATE OF AZ LPC LICENSE

Other names 1

  • Julie A Case Former name

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
I20240409003393 CO Practitioner - Mental Health Counselor 1456799568

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

215 W Oak St
Suite 400
Fort Collins, CO 80521-2730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-22571AZMDProfessional Counselor
3360-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Professional Current Accepting new patients

Locations

215 W Oak St
Fl 4
Fort Collins, CO 80521
Phone (253) 346-1331

215 W Oak St
Ste 400
Fort Collins, CO 80521
Phone (919) 717-1479

1630 Dry Creek Dr
Ste 100-B
Longmont, CO 80503
Phone (913) 244-3563

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1639211303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 29TH ST STE 500",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032357",
            "telephone_number": "920-209-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 MEADOW SWEET LN",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805166501",
            "telephone_number": "920-209-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATABE",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "MSE, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3360-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-22571",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0016604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CO LPC LICENSE",
            "identifier": "LPC.0016604",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41009400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WI LPC LICENSURE",
            "identifier": "3360-125",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF AZ LPC LICENSE",
            "identifier": "LPC-22571",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "CASE",
            "middle_name": "A",
            "credential": "MSE, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, CO

Sources for this page

Verify at the official NPI Registry.