Jeffrey Matthew Cole, LPC, CACIII | |
430 W Main St, Suite 202, Aspen, CO 81611-1616 | |
(303) 815-9399 | |
Not Available |
Full Name | Jeffrey Matthew Cole |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 430 W Main St, Aspen, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902100670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 7141 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | 5714 (Colorado) | Primary |
Entity Name | Eagle Valley Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972267292 PECOS PAC ID: 6204297450 Enrollment ID: O20230803002737 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Matthew Cole, LPC, CACIII Po Box 412, Snowmass, CO 81654-0412 Ph: (303) 815-9399 | Jeffrey Matthew Cole, LPC, CACIII 430 W Main St, Suite 202, Aspen, CO 81611-1616 Ph: (303) 815-9399 |
Susan H. Shipp, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 0405 Castle Creek Rd, #9, Aspen, CO 81611 Phone: 970-920-5555 Fax: 970-920-5557 | |
Griffin Jarzombek, CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Castle Creek Rd, Ste 9, Aspen, CO 81611 Phone: 970-920-5555 Fax: 970-920-5557 | |
Kathryn Elizabeth Hundertmark, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Castle Creek Rd Ste 207, Aspen, CO 81611 Phone: 970-920-5555 Fax: 970-920-5557 | |
Kim A Nuzzo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Castle Creek Rd, Aspen, CO 81611 Phone: 970-920-5555 Fax: 970-920-5557 | |
Andrew K Drazin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Castle Creek Rd, Aspen, CO 81611 Phone: 970-920-5555 Fax: 970-920-5557 | |
Vincent M Savage, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Castle Creek Rd Ste 206, Aspen, CO 81611 Phone: 970-379-0955 | |
Susan E Borm, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Castle Creek Rd, Aspen, CO 81611 Phone: 970-920-5555 Fax: 970-920-5557 |