MEDICARE: EFSUN ELCI

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	101YM0800X	Mental Health Counselor	LPCC.0022299	CO

General Provider Information

NPI Number	:	1720937121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EFSUN ELCI

Provider Business Mailing Address
First Line	:	3714 E 10TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-3503
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3434 47TH ST STE 130
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80301-1802
Country	:	US
Telephone Number	:	202-848-6422
Fax Number	:

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

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

Similar Medicare Providers

1174121107 — ERIC REMZA
Practice Location Address:

3434 47TH ST STE 130
BOULDER, CO
80301-1802

Practice Phone: 303-225-2708
Practice Fax:

1316703523 — ELISABETH ANNE TREGER
Practice Location Address:

3434 47TH ST STE 130
BOULDER, CO
80301-1802

Practice Phone: 312-404-2482
Practice Fax:

1902791692 — ANITA DURBEN LPC
Practice Location Address:

3434 47TH ST STE 130
BOULDER, CO
80301-1802

Practice Phone: 720-432-0454
Practice Fax:

1346049129 — TIFFANY A MALCOLM RN, CD
Practice Location Address:

1802 BOULDER LAKE CT
ROSENBERG, TX
77469-2583

Practice Phone: 773-272-6331
Practice Fax: 713-832-0091

1417267394 — DR. JOSHUA C OLSON OD
Practice Location Address:

1692 30TH ST
BOULDER, CO
80301

Practice Phone: 303-449-0857
Practice Fax:

1659698298 — DR. AUSTIN WARREN CHEN M.D.
Practice Location Address:

4740 PEARL PKWY STE 200
BOULDER, CO
80301-3080

Practice Phone: 303-449-2730
Practice Fax: 303-449-5821

Directions to “ EFSUN ELCI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.