| Eagle Valley Behavioral Health | |
|
429 Edwards Access Rd Edwards CO 81632-5524 | |
| (970) 445-2489 | |
| Not Available |
| Full Name | Eagle Valley Behavioral Health |
|---|---|
| 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 |
|---|---|
| Eagle Valley Behavioral Health Po Box 843056 Kansas City MO 64184-3056 Ph: (970) 777-2850 | Eagle Valley Behavioral Health 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 | 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 | Benjamin R Carron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154717981 PECOS PAC ID: 1153695788 Enrollment ID: I20190918000874 |
| Provider Name | Jose L Elizalde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275814014 PECOS PAC ID: 2163844317 Enrollment ID: I20200617002133 |
| 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 |
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 |