Healthcare Provider Details

I. General information

NPI: 1255560348
Provider Name (Legal Business Name): JOY EILYTHIA MISRA PH.D., LPC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOY EILYTHIA

II. Dates (important events)

Enumeration Date: 07/09/2009
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 ARAPAHOE AVE
BOULDER CO
80302-6720
US

IV. Provider business mailing address

PO BOX 1662
BEND OR
97709-1662
US

V. Phone/Fax

Practice location:
  • Phone: 970-406-4695
  • Fax: 458-206-7433
Mailing address:
  • Phone: 541-945-3201
  • Fax: 458-206-7433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC3916
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number068.0134396
License Number StateVT
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0020529
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: