Alisha M Adrian, LPC0011272
Individual provider Active NPI Professional Counselor · Crawford, CO
NPI 1730892019 · NPPES record last updated Jan 2, 2023
Key facts
- NPI
- 1730892019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC0011272 (CO)
- Practice address
- 4979 4200 Rd
Crawford, CO 81415-9178 - Phone
- (303) 859-7385
- Fax
- (970) 921-5420
- NPI assigned
- Jan 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0011272 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateways to Transformation LLC | Current |
Accepting new patients | |
| Rites of Passage | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC0011272 | CO | Yes |
Addresses
Primary practice location
4979 4200 Rd
Crawford, CO 81415-9178
Mailing address
4979 4200 Rd
Crawford, CO 81415-9178
Phone (303) 859-7385
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aadrian@ritesofpassage.co | Health Information Exchange (HIE) | Rites Of Passage |
Other providers in Crawford, CO
- Randolph Cort Galbreath
- Gateways to Transformation LLC
- Thomas Leach
- Jenny Lee Mitchell
- Needlerock Family Health Clinic
All providers in Crawford, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.