Provider Demographics
NPI:1720369192
Name:ELLIOTT, JOE ANTHONY (LPC, LMFT)
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:ANTHONY
Last Name:ELLIOTT
Suffix:
Gender:M
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4670 FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-2911
Mailing Address - Country:US
Mailing Address - Phone:720-201-1253
Mailing Address - Fax:
Practice Address - Street 1:1616 17TH ST #381
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1277
Practice Address - Country:US
Practice Address - Phone:720-201-1253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101Y00000X
CO11368101YM0800X
CO1270106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health