Caitlin Michele Wolnik Ellis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0016777 Issued in CO

Practice address

2801 Youngfield St Ste 300
Golden, CO 80401-2265

Phone

(303) 205-8482

NPI assigned

Dec 19, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1912593310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 HARRISON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065541",
            "telephone_number": "303-862-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST STE 300",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012265",
            "telephone_number": "303-205-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CAITLIN",
        "middle_name": "MICHELE WOLNIK",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0016777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Laura Edmonds, MOT, OTR/L
• Jenna Eichten, DPT
• Matt A Eisgrau, CRNA
• Elevation Physical Therapy LLC
• Peter M Eller, M.D.
• David Wesley Ellis, MA, LPC, CAC-II
• Michael Brian Ellman, M.D.
• Katherine Ellsworth, PA-C
• Thomas Aziz Elmasri
• Joshua Ryan Elmquist, DPT

• Professional Counselor in Golden, CO
• Providers in Golden, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.