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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELEVATE MENTAL WELLNESS, LLC
NPI 1073482071
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pueblo, CO

Active since October 30, 2025CLIA Certified · 3 labs
1305 FORTINO BLVD, PUEBLO, CO 81008(303) 600-8563(877) 805-7372 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, Apr 20, 2026 (2 updates tracked since 2026).

About Elevate Mental Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELEVATE MENTAL WELLNESS, LLC (NPI 1073482071) is a healthcare organization registered as a mental health (including community mental health center) in Pueblo, Colorado and active in the NPI registry since October 2025. The organization holds 3 active CLIA laboratory certificates and lists Patricia Maria Cupit, Coo, as its authorized official.

NPPES Registry Identity

NPI1073482071
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameELEVATE MENTAL WELLNESS, LLC
Location Address1305 FORTINO BLVDPueblo, CO 81008-2032
Mailing Address450 W Jefferson AveEnglewood, CO 80110-3536 · (970) 786-0074 · Fax (877) 807-7273
Phone(303) 600-8563
Fax(877) 805-7372
Organization SubpartYes
Authorized OfficialPatricia Maria CupitCoo · (970) 786-0074
Enumeration DateOctober 30, 2025
Last NPPES UpdateOctober 13, 20262 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1073482071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1305 FORTINO BLVD, Pueblo, CO 81008
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elevate Mental Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Elevate Mental Wellness, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Jessica Foster, PMHNP-BC
Nurse Practitioner
NPI 1235534876
1305 FORTINO BLVD STE A
Pueblo, CO 81008
(303) 600-8563
✔ PECOS✔ Accepts MedicareSame address
China Garner, PMHNP
Nurse Practitioner
NPI 1811837545
1923 W COLORADO AVE
Colorado Springs, CO 80904
(303) 600-8563
✔ PECOS✔ Accepts Medicare39 mi
Kelly Critchley, RN
Nurse Practitioner
NPI 1265951990
1923 W COLORADO AVE
Colorado Springs, CO 80904
(303) 600-8563
✔ PECOS✔ Accepts Medicare39 mi
Brandon Dunn, NURSE PRACTITIONER
Nurse Practitioner
NPI 1043019946
1923 W COLORADO AVE
Colorado Springs, CO 80904
(303) 600-8563
✔ PECOS✔ Accepts Medicare39 mi
Stacey Harvey, APRN, PMHNP-BC
Nurse Practitioner
NPI 1467140038
1923 W COLORADO AVE
Colorado Springs, CO 80904
(303) 600-8563
✔ PECOS✔ Accepts Medicare39 mi
Shannon Lansford, DNP
Nurse Practitioner
NPI 1639802143
1923 W COLORADO AVE
Colorado Springs, CO 80904
(303) 600-8563
✔ PECOS✔ Accepts Medicare39 mi
Michael Leboeuf, PMHNP-BC
Nurse Practitioner
NPI 1053266270
450 W JEFFERSON AVE
Englewood, CO 80110
(484) 788-1014
✔ PECOS94 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2334364

Elevate Mental Wellness LLC · Pueblo, CO
Active · expires Nov 18, 2027
CLIA Number06D2334364
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorBrandon Dunn
Laboratory Phone(303) 600-8563
Laboratory LocationElevate Mental Wellness LLC1305 Fortino Blvd Ste A, Pueblo, CO 81008
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D2332228

Elevatementalwellness LLC · Englewood, CO
Active · expires Oct 15, 2027
CLIA Number06D2332228
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorBrandon Dunn
Laboratory Phone(970) 786-0074
Laboratory LocationElevatementalwellness LLC450 W Jefferson Ave Ste 2, Englewood, CO 80110
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D2332226

Elevate Mental Wellness LLC · Colorado Springs, CO
Active · expires Oct 15, 2027
CLIA Number06D2332226
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorBrandon Dunn
Laboratory Phone(970) 786-0074
Laboratory LocationElevate Mental Wellness LLC1923 W Colorado Ave Ste 2, Colorado Springs, CO 80904
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elevate Mental Wellness, LLC's NPI number?

The NPI number for Elevate Mental Wellness, LLC is 1073482071. It was assigned to this organization in the NPPES registry on October 30, 2025.

Where is Elevate Mental Wellness, LLC located?

Elevate Mental Wellness, LLC is located at 1305 Fortino Blvd, Pueblo, CO 81008. The listed phone number is (303) 600-8563.

What is Elevate Mental Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Elevate Mental Wellness, LLC enrolled in Medicare?

Yes. Elevate Mental Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elevate Mental Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Elevate Mental Wellness, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Elevate Mental Wellness, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Elevate Mental Wellness, LLC was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.