| Lisa Pantano, MC, LPC | |
|
411 Lakewood Cir Ste C201, Colorado Springs, CO 80910-2668 | |
| (719) 465-7879 | |
| Not Available |
| Full Name | Lisa Pantano |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 411 Lakewood Cir Ste C201, Colorado Springs, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417218363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 69130 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | LPC0011875 (Colorado) | Primary |
| Entity Name | Monumental Experiences Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770250300 PECOS PAC ID: 9436594215 Enrollment ID: O20240303000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Pantano, MC, LPC 1009 De La Vista Pl, Colorado Springs, CO 80911-2400 Ph: (719) 465-7879 | Lisa Pantano, MC, LPC 411 Lakewood Cir Ste C201, Colorado Springs, CO 80910-2668 Ph: (719) 465-7879 |
Elizabeth Anne Beck, LPC CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 2790 N Academy Blvd, Suite 206, Colorado Springs, CO 80917 Phone: 719-596-1530 Fax: 719-559-1130 | |
Andrea Wood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Gold Pass Hts, Colorado Springs, CO 80906 Phone: 719-205-2671 Fax: 719-632-2342 | |
Norma Dejesus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 179 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6300 | |
Sheila Kelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6340 | |
Robert B. Wenzel, M.A. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4360 Montebello Dr Ste 400, Colorado Springs, CO 80918 Phone: 719-593-9228 Fax: 719-598-1705 | |
Dawn Zink, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4975 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-301-5488 | |
Melissa Beth Smart, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1330 Inverness Dr Ste 400, Colorado Springs, CO 80910 Phone: 970-310-3406 |