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

Lisa Emblen Moffitt

Individual provider Mental Health Counselor · NPI 1699072181

Lisa Emblen Moffitt is a Clinical Social Worker in Boulder, Colorado. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
29
Licensed in
CO
In the registry since
2011
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1333 Iris Ave
Boulder, CO 80304-2226
Phone: (303) 413-6212
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2339 (CO)

Record details

NPI number1699072181
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 17, 2011
Last updated in NPPESFebruary 17, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Boulder