Healthcare Provider Details

I. General information

NPI: 1609785393
Provider Name (Legal Business Name): ELIZABETH JOHNSON LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

864 W SOUTH BOULDER RD UNIT 101
LOUISVILLE CO
80027-2410
US

IV. Provider business mailing address

9878 OLD SKI RUN LN APT 305
LITTLETON CO
80125-9336
US

V. Phone/Fax

Practice location:
  • Phone: 720-740-6109
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0025137
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: