Provider Demographics
NPI:1033515622
Name:ENCINIAS, ALISHA CORINNE (MA, LPC, LAC)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:CORINNE
Last Name:ENCINIAS
Suffix:
Gender:F
Credentials:MA, LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4657 W 20TH ST UNIT C
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-3212
Mailing Address - Country:US
Mailing Address - Phone:720-680-2811
Mailing Address - Fax:
Practice Address - Street 1:4657 W 20TH ST UNIT C
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-3212
Practice Address - Country:US
Practice Address - Phone:720-680-2811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-10
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YP2500X, 101YA0400X, 101YM0800X
CO1151101YA0400X
CO13106101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health