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LISA EMBLEN MOFFITT
NPI 1699072181
Counselor - Mental Health in Boulder, CO

Active since February 17, 2011PECOS EnrolledAccepts Medicare Assignment
1333 IRIS AVE, BOULDER, CO 80304(303) 413-6212 Get Directions Write a Review

NPPES record last updated: February 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Emblen Moffitt NPPES

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

LISA EMBLEN MOFFITT (NPI 1699072181) is an individual mental health provider in Boulder, Colorado, licensed in Colorado (2339) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1699072181
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA EMBLEN MOFFITT
Location Address1333 IRIS AVEBoulder, CO 80304-2226
Mailing Address1333 Iris AveBoulder, CO 80304-2226
Phone(303) 413-6212
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 17, 2011
✔ NPI 1699072181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · 2339
1333 IRIS AVE, Boulder, CO 80304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Emblen Moffitt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608352752
PECOS Enrollment IDI20260108002978
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

CARLOS TRUJILLO
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 413-6212
GUILHERME ZAVASCHI
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
MS. REGINA CANNON REGISTERED PSYCHOTHE
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
AMANDA FIELDER
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
CLARISSA MONET DUBOSE
Social Worker
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
BLAKE EDMOND
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
DR. KRISTINA F HINDERT MD
Psychiatry & Neurology (Psychiatry)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
CHERLYN WAGER B.A.
Case Manager/Care Coordinator
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 441-0592

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 Lisa Moffitt's NPI number?

The NPI number for Lisa Moffitt is 1699072181. It was assigned to this individual provider in the NPPES registry on February 17, 2011.

Where is Lisa Moffitt located?

Lisa Moffitt practices at 1333 Iris Ave, Boulder, CO 80304. The listed phone number is (303) 413-6212.

What is Lisa Moffitt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lisa Moffitt enrolled in Medicare?

Yes. Lisa Moffitt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Moffitt accept?

Health plans from Providence Health Plan list Lisa Moffitt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Moffitt was last updated on February 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.