| Melissa Rose Bauman, LPC, LAC, MA | |
|
4856 Innovation Dr, Fort Collins, CO 80525-5539 | |
| (970) 494-4200 | |
| (970) 613-4475 |
| Full Name | Melissa Rose Bauman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4856 Innovation Dr, Fort Collins, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578020152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0001260 (Colorado) | Secondary |
| 101YP2500X | Counselor - Professional | LPC.0015008 (Colorado) | Primary |
| Entity Name | Summitstone Health Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821552738 PECOS PAC ID: 4284527144 Enrollment ID: O20040204000768 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Rose Bauman, LPC, LAC, MA 4856 Innovation Dr, Fort Collins, CO 80525-5539 Ph: (970) 494-4200 | Melissa Rose Bauman, LPC, LAC, MA 4856 Innovation Dr, Fort Collins, CO 80525-5539 Ph: (970) 494-4200 |
Craig Mcfadden, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4601 Corbett Dr, Fort Collins, CO 80528 Phone: 970-207-4800 Fax: 970-207-4805 | |
Caroline Catherine Bunn, LPC, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4856 Innovation Dr Ste B, Fort Collins, CO 80525 Phone: 970-494-4200 | |
Andrea Strayer, LCSW, CAC II, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 4856 Innovation Dr, Fort Collins, CO 80525 Phone: 970-494-4200 Fax: 970-613-4475 | |
Velma G Gallegos, CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 W Oak St, Fort Collins, CO 80521 Phone: 970-494-4300 | |
Mrs. Kayla Elizabeth Poulson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 W Mulberry St Ste 101, Fort Collins, CO 80521 Phone: 970-530-2887 | |
Monica Rowell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4115 Boardwalk Dr, Suite 100, Fort Collins, CO 80525 Phone: 970-493-4580 | |
Stephanie Robyn Saxe, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 W Oak St Fl 4, Fort Collins, CO 80521 Phone: 970-310-3406 |