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429 Edwards Access Rd Edwards CO 81632-5524 | |
| (970) 445-2489 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 429 Edwards Access Rd, Edwards, Colorado |
| Authorized Official Name and Position | Casey Wolfington (DIR COMMUNITY BEHAVIORAL HEALTH) |
| Authorized Official Contact | 9705697765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 843056 Kansas City MO 64184-3056 Ph: (970) 777-2850 | 429 Edwards Access Rd Edwards CO 81632-5524 Ph: (970) 445-2489 |
| NPI Number | 1972267292 |
|---|---|
| Provider Enumeration Date | 10/22/2021 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Medicare PECOS PAC ID | 6204297450 |
|---|---|
| Medicare Enrollment ID | O20230803002737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972267292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Barry I Sandler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992782874 PECOS PAC ID: 5991838070 Enrollment ID: I20100727000895 |
| Provider Name | Catherine M Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457692949 PECOS PAC ID: 0648570440 Enrollment ID: I20151201000913 |
| Provider Name | Melvin Betancourt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982837597 PECOS PAC ID: 8426333840 Enrollment ID: I20170328000900 |
| Provider Name | Joseph G Drew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619471034 PECOS PAC ID: 9234493404 Enrollment ID: I20180516001186 |
| Provider Name | Kady L Svitak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780921783 PECOS PAC ID: 4981945441 Enrollment ID: I20190410000416 |
| Provider Name | Joanna Kluender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891280822 PECOS PAC ID: 8527394527 Enrollment ID: I20190730000472 |
| Provider Name | Benjamin R Carron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154717981 PECOS PAC ID: 1153695788 Enrollment ID: I20190918000874 |
| Provider Name | Elaine Ann Sandler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316113947 PECOS PAC ID: 0244519940 Enrollment ID: I20201202002006 |
| Provider Name | Kyler Rae Hijmans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053946053 PECOS PAC ID: 6406268978 Enrollment ID: I20201208001076 |
| Provider Name | Brandon M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912108648 PECOS PAC ID: 8628120938 Enrollment ID: I20210428000581 |
| Provider Name | Benjamin J Nissen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649701541 PECOS PAC ID: 6406128552 Enrollment ID: I20210727003433 |
| Provider Name | Paige Braxton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952846255 PECOS PAC ID: 6507149689 Enrollment ID: I20220202001559 |
| Provider Name | Amanda S Parsons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164044061 PECOS PAC ID: 6305239906 Enrollment ID: I20220203000168 |
| Provider Name | Tracey Lynn Branch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457079634 PECOS PAC ID: 6709258874 Enrollment ID: I20230220000021 |
| Provider Name | Zachary Miles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588015002 PECOS PAC ID: 7810280658 Enrollment ID: I20230608002946 |
| Provider Name | Jessica Mae Tse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649790189 PECOS PAC ID: 4082022181 Enrollment ID: I20230623001638 |
| Provider Name | Casey Leigh Wolfington |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1568614865 PECOS PAC ID: 1658732813 Enrollment ID: I20230831004799 |
| Provider Name | Yolanda Eve Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477330629 PECOS PAC ID: 2062860687 Enrollment ID: I20231121000384 |
| Provider Name | Blaine Nicole Lawson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750088241 PECOS PAC ID: 5294190427 Enrollment ID: I20240109000716 |
| Provider Name | Juan Carlos Hernandez Barraza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902445224 PECOS PAC ID: 9032560297 Enrollment ID: I20240111003983 |
| Provider Name | Lisa Pringle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154987519 PECOS PAC ID: 5698126712 Enrollment ID: I20240112001501 |
| Provider Name | Michelle H Deutsch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558794859 PECOS PAC ID: 3173920436 Enrollment ID: I20240112001543 |
| Provider Name | Tiffany Buchholz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871000471 PECOS PAC ID: 4587016357 Enrollment ID: I20240117001807 |
| Provider Name | Kala Bettis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689390577 PECOS PAC ID: 6901249432 Enrollment ID: I20240212001850 |
| Provider Name | Stacy Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871898858 PECOS PAC ID: 5193169530 Enrollment ID: I20240214000456 |
| Provider Name | Christina Tindle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902354541 PECOS PAC ID: 2264877083 Enrollment ID: I20240301002622 |
| Provider Name | Skylar Hertzfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629832613 PECOS PAC ID: 5597102053 Enrollment ID: I20240320002513 |
| Provider Name | Jeffrey Matthew Cole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902100670 PECOS PAC ID: 3072952878 Enrollment ID: I20240412001654 |
| Provider Name | Julia Matamoros |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003223926 PECOS PAC ID: 3577903376 Enrollment ID: I20240426001895 |
| Provider Name | Rosa Josephine Gamboa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598536286 PECOS PAC ID: 3274975289 Enrollment ID: I20240522002173 |
| Provider Name | Jordan Seldine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306458104 PECOS PAC ID: 9931541752 Enrollment ID: I20240524001996 |
| Provider Name | Daniel Griggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093241788 PECOS PAC ID: 1759701287 Enrollment ID: I20240528000512 |
| Provider Name | Teresa Michelle Haynes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467481309 PECOS PAC ID: 5092157701 Enrollment ID: I20240528000807 |
| Provider Name | Jennifer Kim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295497469 PECOS PAC ID: 7810339546 Enrollment ID: I20240528001470 |
| Provider Name | Casandra Ruby Armas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992359749 PECOS PAC ID: 6901248558 Enrollment ID: I20240528002231 |
| Provider Name | Jennifer Harmon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457625774 PECOS PAC ID: 1951743525 Enrollment ID: I20240528003324 |
| Provider Name | Leticia G Harrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417689092 PECOS PAC ID: 0648612184 Enrollment ID: I20240529001966 |
| Provider Name | Taylor Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396291761 PECOS PAC ID: 9234571704 Enrollment ID: I20240529003260 |
| Provider Name | Alexa Maestranzi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386126316 PECOS PAC ID: 7416490321 Enrollment ID: I20240620001249 |
| Provider Name | Carly Dierolf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447719638 PECOS PAC ID: 4688110281 Enrollment ID: I20240718004699 |
| Provider Name | Jacob Midkiff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538552690 PECOS PAC ID: 9032659180 Enrollment ID: I20240904003119 |
| Provider Name | Emily Susanne Kunkel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154652105 PECOS PAC ID: 8921539339 Enrollment ID: I20241009000506 |
| Provider Name | Jordan Shomaker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437894367 PECOS PAC ID: 5698208080 Enrollment ID: I20241023003330 |
| Provider Name | Marissa Josub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003211830 PECOS PAC ID: 2961936299 Enrollment ID: I20241108003631 |
| Provider Name | Gladys Patricia Tellez-villa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538853437 PECOS PAC ID: 3072047976 Enrollment ID: I20241114003776 |
| Provider Name | Mary Katherine Volatile |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992522502 PECOS PAC ID: 0648705541 Enrollment ID: I20241202003100 |
Healthy Young Minds 2 Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Edwards Village Blvd, Edwards, CO 81632 Phone: 970-977-9795 Fax: 866-677-3077 | |
Samaritan Center Of The Rockies Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Lariat Loop, Edwards, CO 81632 Phone: 970-926-8558 Fax: 970-926-6845 | |
Eagle Valley Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 Edwards Access Rd, Edwards, CO 81632 Phone: 970-777-2850 | |
Colorado Mountain Medical, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 429 Edwards Access Rd Unit A207, Edwards, CO 81632 Phone: 970-926-6340 Fax: 970-926-6348 | |
Eagle Valley Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 429 Edwards Access Rd, Edwards, CO 81632 Phone: 970-445-2489 | |
Eagle Valley Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 429 Edwards Access Rd, Edwards, CO 81632 Phone: 970-445-2489 | |
Eagle Valley Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Main St, Suite 208, Edwards, CO 81632 Phone: 970-926-8196 Fax: 970-926-8438 |