Allissa Ellen Henderson, LPC | |
10350 E Dakota Ave Ste B, Denver, CO 80247-1314 | |
(303) 338-4545 | |
Not Available |
Full Name | Allissa Ellen Henderson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 10350 E Dakota Ave Ste B, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770771396 | NPI | - | NPPES |
94338833 | Medicaid | CO | |
025354 | Other | CO | KAISER COMMERCIAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2677 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | 2677 (Colorado) | Primary |
Entity Name | Colorado Permanente Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
Mailing Address | Practice Location Address |
---|---|
Allissa Ellen Henderson, LPC 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Allissa Ellen Henderson, LPC 10350 E Dakota Ave Ste B, Denver, CO 80247-1314 Ph: (303) 338-4545 |
Ms. Leilani Tomo Blashill, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 Bannock St., Denver, CO 80204 Phone: 303-504-1700 Fax: 303-733-8239 | |
Ziphora Chaim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S Broadway, Suite 100, Denver, CO 80209 Phone: 303-603-3020 | |
Keith Reid Kendall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S Broadway, Ste 100, Denver, CO 80209 Phone: 303-603-3020 | |
Ronald J Meyer, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2130 Stout St, Denver, CO 80205 Phone: 303-312-9601 | |
Dwayne K Harris, CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 Cherokee St, Denver, CO 80204 Phone: 303-436-6000 | |
Amber L Surls, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8190 E 1st Ave, Suite 105, Denver, CO 80230 Phone: 303-731-8900 Fax: 303-367-7910 | |
Mrs. Lucia Divieste-severtson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1740 Marion St, Denver, CO 80218 Phone: 720-412-7858 |