Ms Colette Cutter Impellizzeri, MA, LCPC in Port Angeles, WA

Ms Colette Cutter Impellizzeri, MA, LCPC is a medicare enrolled "Counselor - Professional" provider in Port Angeles, Washington. Her current practice location is 118 E 8th St, Port Angeles, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 457-0431.

Ms Colette Cutter Impellizzeri is licensed to practice in New Mexico (license number CTB-2023-0477) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043220452.

Contact Information

	Ms Colette Cutter Impellizzeri, MA, LCPC
	118 E 8th St, Port Angeles, WA 98362-6129
	(360) 457-0431
	(360) 457-0493

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Colette Cutter Impellizzeri
Gender	Female
Speciality	Counselor - Professional
Location	118 E 8th St, Port Angeles, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043220452
Provider Enumeration Date: 08/08/2006
Last Update Date: 01/09/2025

Medicare PECOS Information:

PECOS PAC ID: 5698201085
Enrollment ID: I20241209002910

Medical Identifiers

Medical identifiers for Ms Colette Cutter Impellizzeri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043220452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH60125447 (Washington)	Secondary
101YP2500X	Counselor - Professional	1220 (Montana)	Secondary
101YP2500X	Counselor - Professional	CTB-2023-0477 (New Mexico)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Colette Cutter Impellizzeri allows following entities to bill medicare on her behalf.

Entity Name	Teambuilders Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790329472 PECOS PAC ID: 5294126629 Enrollment ID: O20211220001149

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Colette Cutter Impellizzeri is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Colette Cutter Impellizzeri, MA, LCPC 2504 Camino Entrada, Santa Fe, NM 87507-4851 Ph: (505) 216-2727	Ms Colette Cutter Impellizzeri, MA, LCPC 118 E 8th St, Port Angeles, WA 98362-6129 Ph: (360) 457-0431

Reviews and Comments

Counselor in Port Angeles, WA

Deborah Fredson, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493
Nicole Lynn Moreira, MA, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493
Laura Lee Eliason, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493
Ms. Roberta L Charles, ME, CAS,LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 Charles Rd, Port Angeles, WA 98363 Phone: 360-460-5963
Kevin Dean Collins, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 E 1st St, Port Angeles, WA 98362 Phone: 360-452-4432 Fax: 360-452-4599
Teresa Mckenzie, CO60123119 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 E 1st St, Suite 2, Port Angeles, WA 98362 Phone: 360-452-9836
Cypress Bergan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493

Ms Colette Cutter Impellizzeri, MA, LCPC - Medicare Counselor in Port Angeles, WA