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4775 Barnes Rd Ste L Colorado Springs CO 80917-1650 | |
| (719) 644-6131 | |
| (719) 434-9615 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 4775 Barnes Rd Ste L, Colorado Springs, Colorado |
| Authorized Official Name and Position | Courtney Barber (OWNER) |
| Authorized Official Contact | 7073340127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2316 N Wahsatch Ave Ste 373 Colorado Springs CO 80907-6941 Ph: (866) 644-6131 | 4775 Barnes Rd Ste L Colorado Springs CO 80917-1650 Ph: (719) 644-6131 |
| NPI Number | 1558920538 |
|---|---|
| Provider Enumeration Date | 06/12/2019 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/27/2024 |
| Medicare PECOS PAC ID | 7618414004 |
|---|---|
| Medicare Enrollment ID | O20240802001917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558920538 | NPI | - | NPPES |
| Provider Name | Heather Laughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730773540 PECOS PAC ID: 7719379718 Enrollment ID: I20220125002866 |
| Provider Name | Stephanie D Kutnar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538946413 PECOS PAC ID: 2264887801 Enrollment ID: I20231017001406 |
| Provider Name | Jennifer Jaye Monks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407320294 PECOS PAC ID: 5193263226 Enrollment ID: I20240820001771 |
| Provider Name | William Charles Andres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740847631 PECOS PAC ID: 4183162266 Enrollment ID: I20240820004177 |
| Provider Name | Jessica Epperson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316586894 PECOS PAC ID: 8224577275 Enrollment ID: I20240822001651 |
| Provider Name | Elizabeth Mottram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386249498 PECOS PAC ID: 9537608138 Enrollment ID: I20240827003742 |
| Provider Name | Cassandra Leanne Salinas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730898438 PECOS PAC ID: 0840739454 Enrollment ID: I20240827004059 |
| Provider Name | Lisa Trickett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952719213 PECOS PAC ID: 9537608047 Enrollment ID: I20240828003802 |
| Provider Name | Emily Nuding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639763030 PECOS PAC ID: 8527507938 Enrollment ID: I20240829002504 |
| Provider Name | Courtney Barber |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134622889 PECOS PAC ID: 3072050467 Enrollment ID: I20241011002466 |
| Provider Name | Tyler Kabat |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588290910 PECOS PAC ID: 8628501830 Enrollment ID: I20241026000236 |
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