This provider appears on OIG LEIE federal exclusion list. Reason: Conviction of program-related crimes. Exclusion date: 2025-12-18.
Listing this provider in a network directory may constitute a compliance violation and expose the carrier to civil monetary penalties.
NPI 1407282130 · Counselor · Anthem
Provider appears on federal exclusion list while listed in 3 active carrier networks.
NPPES
BOULDER, 80304
Freshness: Unknown
Network Status
Listed with 3 carriers
DORA License
Expired
Medicare
Non-Medicare specialty
Care Compare
No Care Compare data
Federal Exclusion
Conviction of program-related crimes
Source: OIG LEIE
Excluded since: 2025-12-18
Automatic "confirmed" ghost indicator
Active NPI with specialty classification
DORA license expired or revoked
No Medicare billing · No electronic endpoint · No PECOS enrollment
Single address source (NPPES)
Limited carrier network presence
3 networks across 2 carriers
Listed in 3 carrier networks despite federal exclusion — carriers may not be aware of exclusion status.
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.
PECOS Enrollment
No PECOS data