Basic Information
| Provider Information | |||||||||
| NPI: | 1194804807 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHERZER | ||||||||
| FirstName: | ELISE | ||||||||
| MiddleName: | SUZANNE | ||||||||
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| Credential: | M.S,, LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5420 S QUEBEC ST STE 102 | ||||||||
| Address2: | |||||||||
| City: | GREENWOOD VILLAGE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801111902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033862381 | ||||||||
| FaxNumber: | 3033693052 | ||||||||
| Practice Location | |||||||||
| Address1: | 1290 CHAMBERS RD | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800117117 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036172560 | ||||||||
| FaxNumber: | 3036172562 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2006 | ||||||||
| LastUpdateDate: | 06/16/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 1458 | CO | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
ID Information
| ID | Type | State | Issuer | Description | 49750097 | 05 | CO | MEDICAID |