Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elissa Marie Mendieta, LAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1225884125

Elissa Marie Mendieta, LAC is an Addiction (Substance Use Disorder) Counselor in Palmer Lake, Colorado. Practices as a sole proprietor and works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2024
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

443 Highway 105
Palmer Lake, CO 80133-9003
Phone: (719) 955-1800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1610 Gatehouse Cir N Apt 103, Colorado Springs, CO 80904-4925 — (719) 930-5812

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence ACD.0002478 (CO)

Record details

NPI number1225884125
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedApril 30, 2024
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024

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