Provider Demographics
NPI:1265242648
Name:GLASER, ELLIOTT (LPCC, MFT-C)
Entity type:Individual
Prefix:
First Name:ELLIOTT
Middle Name:
Last Name:GLASER
Suffix:
Gender:M
Credentials:LPCC, MFT-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3063 BRIGHTON BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-5032
Mailing Address - Country:US
Mailing Address - Phone:314-578-8999
Mailing Address - Fax:
Practice Address - Street 1:7655 W MISSISSIPPI AVE # 310
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-4356
Practice Address - Country:US
Practice Address - Phone:720-485-3756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0022808101YM0800X
COMFTC.0014749106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist