| Elephant In The Room Llc | |
|
7596 W Jewell Ave # 1-202 Lakewood CO 80232-6889 | |
| (720) 310-6713 | |
| (844) 412-7875 |
| Full Name | Elephant In The Room Llc |
|---|---|
| Speciality | Counselor |
| Location | 7596 W Jewell Ave # 1-202, Lakewood, Colorado |
| Authorized Official Name and Position | Zina Ortiz (CEO) |
| Authorized Official Contact | 7203106713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elephant In The Room Llc 7596 W Jewell Ave # 1-202 Lakewood CO 80232-6889 Ph: (720) 310-6713 | Elephant In The Room Llc 7596 W Jewell Ave # 1-202 Lakewood CO 80232-6889 Ph: (720) 310-6713 |
| NPI Number | 1063877306 |
|---|---|
| Provider Enumeration Date | 12/30/2015 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/30/2024 |
| Medicare PECOS PAC ID | 8123470861 |
|---|---|
| Medicare Enrollment ID | O20240118002772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063877306 | NPI | - | NPPES |
| 17687543 | Medicaid | CO | |
| 98870076 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Zina Ortiz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871790295 PECOS PAC ID: 6002259025 Enrollment ID: I20240207001493 |
| Provider Name | Constantina Christina Costalas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326814609 PECOS PAC ID: 6800239856 Enrollment ID: I20240207001913 |
| Provider Name | Ulysses Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629708961 PECOS PAC ID: 0345683215 Enrollment ID: I20240207002770 |
Barker Behavior Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9371 W La Salle Ave, Lakewood, CO 80227 Phone: 606-922-8857 Fax: 303-845-9102 | |
Center For Autism & Related Disorders, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 198 Union Blvd Ste 200, Lakewood, CO 80228 Phone: 818-345-2345 Fax: 818-758-8015 | |
Creative Treatment Options Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Vance St Ste 204, Lakewood, CO 80214 Phone: 303-467-2624 Fax: 303-431-8410 | |
Continuum Autism Spectrum Alliance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7220 W Jefferson Ave Ste 100, Lakewood, CO 80235 Phone: 303-225-7673 | |
Kaleidoscope Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1496 S Brentwood St, Lakewood, CO 80232 Phone: 303-829-7904 | |
Animal Assisted Therapy Programs Of Colorado, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1255 Lee St, Lakewood, CO 80215 Phone: 720-266-4444 Fax: 303-232-2399 | |
Denver West Psychological Services And Research Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1492 S Jellison St, Lakewood, CO 80232 Phone: 928-284-0600 |