Michelle Elias, LPC , CACIII
Individual provider Active NPI Professional Counselor · Gunnison, CO
NPI 1922420405 · NPPES record last updated Jan 17, 2014
Key facts
- NPI
- 1922420405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 11248 (CO)
- Practice address
- 710 N Taylor St
Gunnison, CO 81230-2244 - Phone
- (970) 624-4606
- NPI assigned
- Jan 17, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 7026 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 11248 | CO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7026 | CO | |
| Professional Counselor | 101YP2500X | 11248 | CO | Yes |
Addresses
Primary practice location
710 N Taylor St
Gunnison, CO 81230-2244
Mailing address
PO. Box 1208
Midwestern Co.Mental Health
Montrose, CO 81402-2244
Phone (970) 624-4606
Other providers in Gunnison, CO
- Derek Douglas
- Alex Duyvejonck
- Erica Lyn Eaton
- Stephanie L Eflin
- David Henry Elfenbein
- Elk Mountain Therapy Associates, Inc.
- Elk Mountain Therapy Associates, LLC
- Samuel Elzay
- Emily Parsons LLC
- Alonso Escalante
All providers in Gunnison, 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 17, 2014. 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.