Active NPI
Gregory Mayes Elliott, MA, LPC
- Professional Counselor
- Alamosa, CO
National Provider Identifier
1710342613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4443
- Practice address
- 8745 County Road 9 S
Alamosa, CO 81101-9610 - Phone
- (719) 589-3671
- NPI assigned
- Dec 18, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4443 | CO | Primary |
Addresses
Primary practice location
8745 County Road 9 S
Alamosa, CO 81101-9610
Mailing address
9933 Pioneer Way
Alamosa, CO 81101-9570
Phone (719) 480-0330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4443 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1710342613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9933 PIONEER WAY",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811019570",
"telephone_number": "719-480-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8745 COUNTY ROAD 9 S",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811019610",
"telephone_number": "719-589-3671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "GREGORY",
"middle_name": "MAYES",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-18",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "4443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.