Prosopon
NPI 1184350019ActiveOrganization· Counselor, Professional· Boulder, CO
Counselor, Professional in Boulder, Colorado, registered in NPPES in July 2022. The authorized official on file is Elizabeth C. Long, LPC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184350019 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 25, 2022 |
| Last updated in NPPES | Jul 25, 2022 |
| Certified by provider | Jul 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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