MEDICARE: MS. CAROLYN ELISA CAMPOS M.A LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0021840	CO

General Provider Information

NPI Number	:	1215766456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROLYN ELISA CAMPOS M.A LPCC

Provider Business Mailing Address
First Line	:	2127 CENTRAL PARK BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-4115
Country	:	US
Telephone Number	:	303-475-3693
Fax Number	:

Provider Business Practice Location Address
First Line	:	2127 CENTRAL PARK BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-4115
Country	:	US
Telephone Number	:	303-475-3693
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2024
Last Update Date	:	02/02/2026

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