Active NPI
Elaine Coller, LPC
- Professional Counselor
- Wickenburg, AZ
National Provider Identifier
1831820141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-20851
- Practice address
- 1290 Cherokee LN
Wickenburg, AZ 85390-1741 - Phone
- (406) 880-5867
- NPI assigned
- Jun 19, 2022
- Sex
- Female
- 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 | LPC-20851 | AZ | Primary |
Addresses
Primary practice location
1290 Cherokee LN
Wickenburg, AZ 85390-1741
Mailing address
1290 Cherokee LN
Wickenburg, AZ 85390-1741
Phone (406) 880-5867
Other practice location 1
7200 W Bell Rd Ste E102
Glendale, AZ 85308-8534
Phone (623) 934-9191
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-20851 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1831820141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 CHEROKEE LN",
"city": "WICKENBURG",
"state": "AZ",
"postal_code": "853901741",
"telephone_number": "406-880-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 CHEROKEE LN",
"city": "WICKENBURG",
"state": "AZ",
"postal_code": "853901741",
"telephone_number": "406-880-5867"
}
],
"practiceLocations": [
{
"address_1": "7200 W Bell Rd Ste E102",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853088534",
"country_code": "US",
"telephone_number": "623-934-9191",
"fax_number": "303-265-9247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLER",
"first_name": "ELAINE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-19",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-20851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wickenburg, AZ
- Melissa Susanne Christmas, DNP, APRN-RNP
- Ronni C Chrzanowski, MD
- Laura L Churchill, MC, LPC
- Winnifred D Clark
- Helen Cobb, FNP
- Community First Home Health Care, LLC
- Community Hospital Association, Inc.
- Community Hospital Association, Inc.
- Community Hospital Association, Inc.
- Community Hospital Association, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.