Elisha Marie Rivers, LPC, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0020875 Issued in CO

Practice address

460 County Road 43 # a
Bailey, CO 80421-2503

Phone

(719) 572-6100

Fax

(719) 572-6089

NPI assigned

Sep 13, 2017

Last updated

Jul 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Diversus Health IncGroup PAC ID 7719879204, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diversus Health Inc

  dba Diversus Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1043260243
  Medicare reassignment Care Compare group NPD
• Bartlett Regional Hospital

  dba Southeast Physicians Services

  • Multi-Specialty Clinic/Center
  • Juneau, AK
  • NPI 1154331734
  Medicare reassignment NPD
• Diversus Health Inc

  dba Diversus Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Calhan, CO
  • NPI 1013363837
  NPD
• Diversus Health Inc

  dba Diversus Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1295269561
  NPD
• Diversus Health Inc

  dba Diversus Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bailey, CO
  • NPI 1487404224
  NPD
• Diversus Health Inc

  dba Diversus Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1245696350
  NPD (past)
• Diversus Health Inc

  dba Diversus Health Services ATU

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1295595882
  NPD (past)
• Diversus Health Inc

  dba Diversus Health Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Colorado Springs, CO
  • NPI 1376188847
  NPD (past)
• Diversus Health Inc

  dba Diversus Health Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Colorado Springs, CO
  • NPI 1528603008
  NPD (past)
• Diversus Health Inc

  dba Diversus Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodland Park, CO
  • NPI 1811352586
  NPD (past)

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1932628658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 JET WING DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809162332",
            "telephone_number": "719-572-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 COUNTY ROAD 43 # A",
            "city": "BAILEY",
            "state": "CO",
            "postal_code": "804212503",
            "telephone_number": "719-572-6100",
            "fax_number": "719-572-6089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3260 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998017808",
            "country_code": "US",
            "telephone_number": "907-796-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "ELISHA",
        "middle_name": "MARIE",
        "credential": "LPC, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0020875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porter Adventist Hospital
• Dustin Ted Powell, LPC, MA, CACIII
• Private Healthcare Facilities
• Julie Rich-Winkel, LCSW
• Wesley Evan Ridgdill, R.N.
• Rocky Mountain Speech Therapy
• Allison Lindsay Sager, MSW
• Andrew T Taylor, DMD
• The Flourishing Mind LLC
• Kayla Thorngate, RDN, IBCLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.