| Colorado In-home Counseling | |
|
501 S Cherry St Ste 820 Denver CO 80246-1325 | |
| (702) 589-4871 | |
| (702) 589-4872 |
| Full Name | Colorado In-home Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 501 S Cherry St Ste 820, Denver, Colorado |
| Authorized Official Name and Position | Jennifer Essex (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 7024835044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado In-home Counseling 501 S Cherry St Ste 820 Denver CO 80246-1325 Ph: (702) 589-4871 | Colorado In-home Counseling 501 S Cherry St Ste 820 Denver CO 80246-1325 Ph: (702) 589-4871 |
| NPI Number | 1093220006 |
|---|---|
| Provider Enumeration Date | 12/13/2017 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Medicare PECOS PAC ID | 7214296409 |
|---|---|
| Medicare Enrollment ID | O20180116001211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093220006 | NPI | - | NPPES |
| 9000171712 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Carmen M Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578840864 PECOS PAC ID: 0042100430 Enrollment ID: I20040318001003 |
| Provider Name | Devera Larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649399049 PECOS PAC ID: 3577527464 Enrollment ID: I20080429000136 |
| Provider Name | James B Mauldin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619191012 PECOS PAC ID: 0547338493 Enrollment ID: I20081006000613 |
| Provider Name | Tzu Hui Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477923407 PECOS PAC ID: 1850719394 Enrollment ID: I20200915001555 |
| Provider Name | Anne C Collar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407457187 PECOS PAC ID: 5799198123 Enrollment ID: I20210104001706 |
| Provider Name | Misty Dawn Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851992176 PECOS PAC ID: 7911314299 Enrollment ID: I20210405000019 |
| Provider Name | Asma Farooq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174973382 PECOS PAC ID: 1850688128 Enrollment ID: I20210426000916 |
| Provider Name | Sam Anthony Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841519626 PECOS PAC ID: 6103223201 Enrollment ID: I20210915003942 |
| Provider Name | Nima Alinejad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043310808 PECOS PAC ID: 7214074418 Enrollment ID: I20220525002732 |
| Provider Name | Anthony Quinn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558621151 PECOS PAC ID: 0547489619 Enrollment ID: I20220705001132 |
| Provider Name | Trevor G Gates Crandall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316982705 PECOS PAC ID: 8729162839 Enrollment ID: I20220722001367 |
| Provider Name | Brian John Berrett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396107595 PECOS PAC ID: 6103104815 Enrollment ID: I20220809002294 |
| Provider Name | David Witty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518425149 PECOS PAC ID: 9931442621 Enrollment ID: I20220811003270 |
| Provider Name | Paige Elizabeth Murphy-floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225776321 PECOS PAC ID: 0042693624 Enrollment ID: I20220815001225 |
| Provider Name | Adora Anulika Akwuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740725498 PECOS PAC ID: 6608150792 Enrollment ID: I20220919000319 |
| Provider Name | Scott Matthew Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407581432 PECOS PAC ID: 1951778794 Enrollment ID: I20221107003373 |
| Provider Name | Nicholas Hollister |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275074445 PECOS PAC ID: 3476886904 Enrollment ID: I20221229001238 |
| Provider Name | Harley Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023724580 PECOS PAC ID: 2365814787 Enrollment ID: I20230214000255 |
| Provider Name | Ashmira Rajwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326740606 PECOS PAC ID: 5890160956 Enrollment ID: I20230404001341 |
| Provider Name | Alexine Kejika Nansinla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265142236 PECOS PAC ID: 7618338070 Enrollment ID: I20230801002963 |
| Provider Name | Duvall Perez Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669159059 PECOS PAC ID: 6507228509 Enrollment ID: I20230808001458 |
| Provider Name | Lauren Manzella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952080830 PECOS PAC ID: 2264895341 Enrollment ID: I20230823002405 |
| Provider Name | Sarah Rechner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063787018 PECOS PAC ID: 0547691321 Enrollment ID: I20230831004166 |
| Provider Name | Ayla Jenson Naughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740988286 PECOS PAC ID: 9830553916 Enrollment ID: I20230907002181 |
| Provider Name | Alli Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477253284 PECOS PAC ID: 8022462605 Enrollment ID: I20230930000598 |
| Provider Name | Omolola Omoyemi Akinnodi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356019897 PECOS PAC ID: 0648661645 Enrollment ID: I20231011000602 |
| Provider Name | Suzanne Gaye Feist-matson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538315536 PECOS PAC ID: 6901254937 Enrollment ID: I20231130002398 |
| Provider Name | Shannon Marie Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508554445 PECOS PAC ID: 1759730542 Enrollment ID: I20231205002280 |
| Provider Name | Angela Jasmine Gosalvez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497212880 PECOS PAC ID: 6608227871 Enrollment ID: I20240111004644 |
| Provider Name | Tracy Epperson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841498987 PECOS PAC ID: 0042645665 Enrollment ID: I20240202002065 |
| Provider Name | Nancy Rosalyn Galbraith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437345469 PECOS PAC ID: 6103261433 Enrollment ID: I20240227001347 |
| Provider Name | Sonny D Saunders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558545426 PECOS PAC ID: 0648658104 Enrollment ID: I20240423004499 |
| Provider Name | Lisa Jane Culver-sharrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891540936 PECOS PAC ID: 6800338773 Enrollment ID: I20240606002034 |
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