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ELISSA MARIE MENDIETA LAC
NPI 1225884125
Counselor - Addiction (Substance Use Disorder) in Palmer Lake, CO

Active since April 30, 2024
443 HIGHWAY 105, PALMER LAKE, CO 80133(719) 955-1800 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2024, Apr 30, 2024 (2 updates tracked since 2024).

About Elissa Marie Mendieta Lac NPPES

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

ELISSA MARIE MENDIETA LAC (NPI 1225884125) is an individual addiction (substance use disorder) provider in Palmer Lake, Colorado, licensed in Colorado (ACD.0002478) and active in the NPI registry since April 2024. She maintains a secondary practice location in Colorado Springs.

NPPES Registry Identity

NPI1225884125
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameELISSA MARIE MENDIETACredential: LAC
Location Address443 HIGHWAY 105Palmer Lake, CO 80133-9003
Mailing Address1610 Gatehouse Cir N Apt 103Colorado Springs, CO 80904-4925 · (719) 930-5812
Phone(719) 955-1800
Sole ProprietorYes
Enumeration DateApril 30, 2024
Last NPPES UpdateMay 13, 20242 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1225884125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CO · ACD.0002478
443 HIGHWAY 105, Palmer Lake, CO 80133
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Secondary Practice Location 1

Location 11610 Gatehouse Cir N Apt 103Colorado Springs, CO 80904-4925 · Phone (719) 930-5812

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CAROLINE HONORA STORK LSW, CCTP, CADC
Social Worker
443 HIGHWAY 105
PALMER LAKE, CO 80133
El Paso County (719) 884-0063
TESHINA CARTER LCSW
Social Worker (Clinical)
443 HIGHWAY 105
PALMER LAKE, CO 80133
El Paso County (719) 884-0063
SARAH SHEPHERD RD
Dietitian, Registered
443 HIGHWAY 105
PALMER LAKE, CO 80133
El Paso County (719) 660-2694
MICHELLE ROBERTS LSW
Counselor (Mental Health)
443 HIGHWAY 105
PALMER LAKE, CO 80133
El Paso County (719) 481-1800
RENAE CHALAINE HELMS MA, LPC, NCC
Counselor
443 HIGHWAY 105
PALMER LAKE, CO 80133
El Paso County (719) 955-1800
RECOVERY VILLAGE AT PALMER LAKE, LLC
Community Based Residential Treatment Facility, Mental Illness
443 HIGHWAY 105
PALMER LAKE, CO 80133
El Paso County (305) 785-5520
RECOVERY VILLAGE AT PALMER LAKE, LLC
Substance Abuse Rehabilitation Facility
443 HIGHWAY 105
PALMER LAKE, CO 80133
El Paso County (719) 481-1800
MORGAN WOODWARD
Counselor (Mental Health)
443 HIGHWAY 105
PALMER LAKE, CO 80133
El Paso County (719) 955-1800

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 Elissa Mendieta's NPI number?

The NPI number for Elissa Mendieta is 1225884125. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Elissa Mendieta located?

Elissa Mendieta practices at 443 Highway 105, Palmer Lake, CO 80133. The listed phone number is (719) 955-1800.

What is Elissa Mendieta's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Elissa Mendieta was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.