Elisabeth (Lisa) Collingridge, MS MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0014159 Issued in CO

Practice address

4522 Captain Jack LN
Colorado Springs, CO 80924-8219

Phone

(617) 599-0104

NPI assigned

Oct 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zia Healing and Wellness LLCGroup PAC ID 9537607817, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zia Healing and Wellness LLC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1851049241

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1669136065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 CAPTAIN JACK LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809248219",
            "telephone_number": "617-599-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 CAPTAIN JACK LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809248219",
            "telephone_number": "617-599-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINGRIDGE",
        "first_name": "ELISABETH (LISA)",
        "credential": "MS MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0014159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFTC LICENSE NUMBER",
            "identifier": "0014159",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Collier
• Kathleen Collier
• Rayanne Collier, RBT
• Emma Colligan
• Rachel Colling
• Caroline Collins-Pisano
• Allison Collins
• Annie L Collins
• Ashley Brittany Collins, LAC, LPC
• Brian Collins, RN

• Marriage & Family Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.