=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124986831
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALISA ARMACOST
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2026
-----------------------------------------------------
Last Update Date | 02/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3660 WADSWORTH BLVD
-----------------------------------------------------
City | WHEAT RIDGE
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80033-4609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-526-2622
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2257 DEPEW ST
-----------------------------------------------------
City | EDGEWATER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80214-1238
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-588-8764
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | LPCC.0024214
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------