Individual provider Active NPI

Monique Julia Ekker

  • Mental Health Counselor
  • Florissant, CO
National Provider Identifier
1700241361
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NLC.0105810 Issued in CO
Practice address
13576 County Rd 1
Florissant, CO 80816-9001
Phone
(719) 235-7473
NPI assigned
Dec 28, 2015
Last updated
Dec 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NLC.0105810 CO Primary

Addresses

Primary practice location

13576 County Rd 1
Florissant, CO 80816-9001

Mailing address

13576 County Rd 1
Florissant, CO 80816-9001
Phone (719) 235-7473

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
I20240801002721 CO Practitioner - Mental Health Counselor 0143767731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13576 County Rd
Suite 1
Florissant, CO 80816-9001
Phone (719) 235-7473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NLC.0105810COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Outside Rein, LLC Mental Health CurrentSince Jun 12, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1700241361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13576 COUNTY RD 1",
            "city": "FLORISSANT",
            "state": "CO",
            "postal_code": "808169001",
            "telephone_number": "719-235-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13576 COUNTY RD 1",
            "city": "FLORISSANT",
            "state": "CO",
            "postal_code": "808169001",
            "telephone_number": "719-235-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKKER",
        "first_name": "MONIQUE",
        "middle_name": "JULIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0105810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, CO

Sources for this page

Verify at the official NPI Registry.