| Family Care Center, Llc | |
|
2860 S Circle Dr Ste 109 Colorado Springs CO 80906-4195 | |
| (719) 540-2100 | |
| Not Available |
| Full Name | Family Care Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2860 S Circle Dr Ste 109, Colorado Springs, Colorado |
| Authorized Official Name and Position | Christian M Ellis (PROVIDER ENGAGEMENT & CREDENTIALING) |
| Authorized Official Contact | 7195402100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Center, Llc 2860 S Circle Dr Ste 109 Colorado Springs CO 80906-4195 Ph: (719) 540-2100 | Family Care Center, Llc 2860 S Circle Dr Ste 109 Colorado Springs CO 80906-4195 Ph: (719) 540-2100 |
| NPI Number | 1790141984 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 12/05/2022 |
| Certification Date | 12/05/2022 |
| Medicare PECOS PAC ID | 5991064420 |
|---|---|
| Medicare Enrollment ID | O20180109000960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790141984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Karen S Umemoto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518950229 PECOS PAC ID: 3971531187 Enrollment ID: I20050729000236 |
| Provider Name | Amy L Calabrese |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215054655 PECOS PAC ID: 6507757820 Enrollment ID: I20051004001145 |
| Provider Name | Cathleen L Oneill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922026087 PECOS PAC ID: 4486659893 Enrollment ID: I20060918000519 |
| Provider Name | Erika Mcelroy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265514814 PECOS PAC ID: 1951301878 Enrollment ID: I20061227000361 |
| Provider Name | David A Fohrman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962562918 PECOS PAC ID: 8325049489 Enrollment ID: I20070117000023 |
| Provider Name | David T Margiotta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134314008 PECOS PAC ID: 4082702105 Enrollment ID: I20071126000529 |
| Provider Name | Allison E Brannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457535106 PECOS PAC ID: 4082796495 Enrollment ID: I20080124000161 |
| Provider Name | Narin Wongngamnit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932255528 PECOS PAC ID: 4082760632 Enrollment ID: I20090923000151 |
| Provider Name | Donna J Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578707790 PECOS PAC ID: 7315129160 Enrollment ID: I20110315000815 |
| Provider Name | Jennifer A Osborne |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1467666396 PECOS PAC ID: 2860679362 Enrollment ID: I20110609000737 |
| Provider Name | Kartiki Churi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619137189 PECOS PAC ID: 2769630243 Enrollment ID: I20120907000700 |
| Provider Name | Jennifer L Grote |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346400132 PECOS PAC ID: 0345485165 Enrollment ID: I20130328000019 |
| Provider Name | Rebecca L Matlock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235572348 PECOS PAC ID: 5496993032 Enrollment ID: I20130521000431 |
| Provider Name | James Digioia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154312742 PECOS PAC ID: 2365331352 Enrollment ID: I20130709000338 |
| Provider Name | Cynthia B Toland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396093704 PECOS PAC ID: 1052534039 Enrollment ID: I20140520001005 |
| Provider Name | Jaime C Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619084555 PECOS PAC ID: 2466670153 Enrollment ID: I20140821000695 |
| Provider Name | Miranda G.p. Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629239405 PECOS PAC ID: 8921321779 Enrollment ID: I20141231000131 |
| Provider Name | Jayden R Wiersma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841666195 PECOS PAC ID: 9931419785 Enrollment ID: I20151105002383 |
| Provider Name | April Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316212566 PECOS PAC ID: 9739339490 Enrollment ID: I20160525002350 |
| Provider Name | Lorraine Wiegand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023385911 PECOS PAC ID: 9931488863 Enrollment ID: I20161117001355 |
| Provider Name | Elizabeth J Erickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497063606 PECOS PAC ID: 9032498654 Enrollment ID: I20161122000725 |
| Provider Name | Ruthann R Lester |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548677545 PECOS PAC ID: 0547540189 Enrollment ID: I20161216001665 |
| Provider Name | Diana Jean Heinz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558534123 PECOS PAC ID: 3173807195 Enrollment ID: I20170310000801 |
| Provider Name | Joelle J Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528580487 PECOS PAC ID: 9436422128 Enrollment ID: I20170831000285 |
| Provider Name | Samuel A Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598176034 PECOS PAC ID: 5890069363 Enrollment ID: I20170921002298 |
| Provider Name | Amy L Rapp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174058176 PECOS PAC ID: 7618236456 Enrollment ID: I20180124000460 |
| Provider Name | Charles Lee Weber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841277258 PECOS PAC ID: 1254600935 Enrollment ID: I20180308000303 |
| Provider Name | Aaron Avallone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366646069 PECOS PAC ID: 0840553087 Enrollment ID: I20180420002078 |
| Provider Name | Kristy A Gill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689166902 PECOS PAC ID: 2769738772 Enrollment ID: I20180705001800 |
| Provider Name | Eva M Diaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386089134 PECOS PAC ID: 8921306424 Enrollment ID: I20180712000381 |
| Provider Name | Kwang-soo Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689635880 PECOS PAC ID: 9335162155 Enrollment ID: I20180821003746 |
| Provider Name | Kelly S Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811138969 PECOS PAC ID: 6305198961 Enrollment ID: I20181009002107 |
| Provider Name | Jayne Norton Lane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881186617 PECOS PAC ID: 5890047104 Enrollment ID: I20181016000517 |
| Provider Name | Anat Geva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124222310 PECOS PAC ID: 1759624448 Enrollment ID: I20190521001406 |
| Provider Name | Stephanie Ashley Spjuth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700260262 PECOS PAC ID: 2668705021 Enrollment ID: I20190618000593 |
| Provider Name | Rebecca Cecilia Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942853049 PECOS PAC ID: 4082941836 Enrollment ID: I20190816000580 |
| Provider Name | Tamara Kane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043860729 PECOS PAC ID: 2365773280 Enrollment ID: I20191008001002 |
| Provider Name | Eva M Kolb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750724951 PECOS PAC ID: 9133491772 Enrollment ID: I20191008002750 |
| Provider Name | Jon Blauw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295224020 PECOS PAC ID: 7214269331 Enrollment ID: I20191023000049 |
| Provider Name | Keelan Chattan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174902860 PECOS PAC ID: 3678907540 Enrollment ID: I20191231001205 |
| Provider Name | Robert D Whiting |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124247556 PECOS PAC ID: 2860827458 Enrollment ID: I20200108000778 |
| Provider Name | Juliana Flora Vergaray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447569769 PECOS PAC ID: 4880029941 Enrollment ID: I20200117000738 |
| Provider Name | Eric Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992345565 PECOS PAC ID: 7012338536 Enrollment ID: I20200609000215 |
| Provider Name | Sydney Soucek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487279600 PECOS PAC ID: 4183048648 Enrollment ID: I20200717000190 |
| Provider Name | Pamela C Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538787973 PECOS PAC ID: 9638598204 Enrollment ID: I20200930003231 |
| Provider Name | Diane Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407175086 PECOS PAC ID: 6305266974 Enrollment ID: I20201020002823 |
| Provider Name | Ian Storey Geis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801158449 PECOS PAC ID: 2264844299 Enrollment ID: I20201216002731 |
| Provider Name | Kathryn Meier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518585926 PECOS PAC ID: 7012329808 Enrollment ID: I20201221000769 |
| Provider Name | Katherine Susanne Trudo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609408392 PECOS PAC ID: 3476965088 Enrollment ID: I20201223000752 |
| Provider Name | Steven Galvan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629470935 PECOS PAC ID: 0244643898 Enrollment ID: I20201229000792 |
| Provider Name | Meredith Ulon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891236931 PECOS PAC ID: 7214336437 Enrollment ID: I20210520001205 |
| Provider Name | Kelsey French |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700240728 PECOS PAC ID: 8820210867 Enrollment ID: I20210623001560 |
| Provider Name | Sandra E Boley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588983688 PECOS PAC ID: 4587060702 Enrollment ID: I20210913002917 |
| Provider Name | Robyn Francine Goldsmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689291015 PECOS PAC ID: 7416345764 Enrollment ID: I20211019003060 |
| Provider Name | Olamipo Adekoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770066623 PECOS PAC ID: 9234482407 Enrollment ID: I20211118000456 |
| Provider Name | Peyton Hurt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497745392 PECOS PAC ID: 4385033943 Enrollment ID: I20211119001734 |
| Provider Name | Judy Cole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295858884 PECOS PAC ID: 3375934615 Enrollment ID: I20211222000481 |
| Provider Name | Christopher J White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134404916 PECOS PAC ID: 5092106070 Enrollment ID: I20211230000414 |
| Provider Name | Briana Tillman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619434545 PECOS PAC ID: 7315339363 Enrollment ID: I20220125000438 |
| Provider Name | Loraine Jenness |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871913533 PECOS PAC ID: 2062805740 Enrollment ID: I20220201000812 |
| Provider Name | Buffy Ivany |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437122306 PECOS PAC ID: 3375516685 Enrollment ID: I20220204000548 |
| Provider Name | Megan Elizabeth Randall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225673783 PECOS PAC ID: 3173917820 Enrollment ID: I20220223002493 |
| Provider Name | Melissa Stein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053905281 PECOS PAC ID: 6901290246 Enrollment ID: I20220302000457 |
| Provider Name | Christopher Ivany |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649260209 PECOS PAC ID: 4880089564 Enrollment ID: I20220315002784 |
| Provider Name | Justin D Lincoln |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083642482 PECOS PAC ID: 2365837853 Enrollment ID: I20220321000068 |
| Provider Name | Katherine Christine Hollar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609540863 PECOS PAC ID: 5092100503 Enrollment ID: I20220321000951 |
| Provider Name | Marinda Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457992570 PECOS PAC ID: 1850623570 Enrollment ID: I20220412002237 |
| Provider Name | Rachael Goodworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578210340 PECOS PAC ID: 8426445206 Enrollment ID: I20220426000563 |
| Provider Name | Mallory Lois Hislar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306482666 PECOS PAC ID: 0840687422 Enrollment ID: I20220428002750 |
| Provider Name | Melanie Ruth Sida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063744357 PECOS PAC ID: 2860879160 Enrollment ID: I20220505002460 |
| Provider Name | Amber Dugger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366182669 PECOS PAC ID: 4789061995 Enrollment ID: I20220509002182 |
| Provider Name | Regina Lin Kehn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609449479 PECOS PAC ID: 2769869544 Enrollment ID: I20220517001245 |
| Provider Name | John Yeaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396891149 PECOS PAC ID: 1658758073 Enrollment ID: I20220524001456 |
| Provider Name | Gary Richard Bolz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205567666 PECOS PAC ID: 6204216740 Enrollment ID: I20220630001370 |
| Provider Name | Veronica Haley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053055665 PECOS PAC ID: 7113307497 Enrollment ID: I20220705000320 |
| Provider Name | Mary Grace Haas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093478943 PECOS PAC ID: 9436530334 Enrollment ID: I20220725000984 |
| Provider Name | Caitlin Kieltyka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700229655 PECOS PAC ID: 8527358662 Enrollment ID: I20220804001913 |
| Provider Name | Shira Jennifer Hecht |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467183574 PECOS PAC ID: 7618350562 Enrollment ID: I20220810002500 |
| Provider Name | Skylar Faulkner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669918710 PECOS PAC ID: 2567845381 Enrollment ID: I20220811001634 |
| Provider Name | Sarah Y Rubin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720715360 PECOS PAC ID: 6507240264 Enrollment ID: I20220829003269 |
| Provider Name | Patrice Werling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922525120 PECOS PAC ID: 7911381033 Enrollment ID: I20220908001085 |
| Provider Name | David B Hickel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629109079 PECOS PAC ID: 7012383375 Enrollment ID: I20221012001474 |
| Provider Name | Stephanie Spies-upton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801510524 PECOS PAC ID: 1456727007 Enrollment ID: I20221021002238 |
| Provider Name | Ashley Larsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134527104 PECOS PAC ID: 2466829684 Enrollment ID: I20221101001394 |
| Provider Name | Katie Croft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679095418 PECOS PAC ID: 4789051582 Enrollment ID: I20221108002131 |
| Provider Name | Erica Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932538717 PECOS PAC ID: 5991175077 Enrollment ID: I20230106000047 |
| Provider Name | Lisa Catherine Laws |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164139259 PECOS PAC ID: 5496126864 Enrollment ID: I20230123000388 |
| Provider Name | Sally Mead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316013253 PECOS PAC ID: 0547533481 Enrollment ID: I20230125003564 |
| Provider Name | Juliet Joy Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093447435 PECOS PAC ID: 6507237633 Enrollment ID: I20230126003541 |
| Provider Name | Jamie Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235808171 PECOS PAC ID: 8527431519 Enrollment ID: I20230221003360 |
| Provider Name | Nicole Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174939201 PECOS PAC ID: 4082087093 Enrollment ID: I20230222000736 |
| Provider Name | Nichole Anne Blanford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477260487 PECOS PAC ID: 1456724137 Enrollment ID: I20230228000425 |
| Provider Name | Bonnie G. Koepke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710694518 PECOS PAC ID: 2769855378 Enrollment ID: I20230301002964 |
| Provider Name | Eric Pittier Kinsman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619225083 PECOS PAC ID: 0042437287 Enrollment ID: I20230307000866 |
| Provider Name | Laurel Glickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669188371 PECOS PAC ID: 7618340894 Enrollment ID: I20230309001023 |
| Provider Name | Jenna Leigh Scherbenske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801500673 PECOS PAC ID: 6406229517 Enrollment ID: I20230309002723 |
| Provider Name | Dalton Emilio Martin Acevedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639895352 PECOS PAC ID: 6305210444 Enrollment ID: I20230313001908 |
| Provider Name | Victoria Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346918539 PECOS PAC ID: 1759755804 Enrollment ID: I20230313002408 |
| Provider Name | Davida Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891832192 PECOS PAC ID: 3779957204 Enrollment ID: I20230323000379 |
| Provider Name | Garen Gasparro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013475151 PECOS PAC ID: 7618342742 Enrollment ID: I20230403002749 |
| Provider Name | Elizabeth Ann Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184256026 PECOS PAC ID: 6507231263 Enrollment ID: I20230411001181 |
| Provider Name | Christina Zakrzewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255032306 PECOS PAC ID: 1254706971 Enrollment ID: I20230412000513 |
| Provider Name | Kiersten Victoria Sippio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689144842 PECOS PAC ID: 3476918632 Enrollment ID: I20230427001005 |
| Provider Name | Rachel Penne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336768779 PECOS PAC ID: 6901261791 Enrollment ID: I20230501001264 |
| Provider Name | Lara Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598135667 PECOS PAC ID: 1052777182 Enrollment ID: I20230516002176 |
| Provider Name | Jodi Kimber Brightheart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427557826 PECOS PAC ID: 1557729068 Enrollment ID: I20230615000473 |
| Provider Name | Nicholetti White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770127011 PECOS PAC ID: 5799143608 Enrollment ID: I20230626001919 |
| Provider Name | Nicole Pinna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548957012 PECOS PAC ID: 8729447065 Enrollment ID: I20230705003539 |
| Provider Name | Laura A Schmitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073830311 PECOS PAC ID: 0547587933 Enrollment ID: I20230707003608 |
| Provider Name | Jenny Elizabeth Fox-tabor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215635982 PECOS PAC ID: 5294195012 Enrollment ID: I20230712001199 |
| Provider Name | Gregory Ean Sayre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871178608 PECOS PAC ID: 8123488657 Enrollment ID: I20230717000369 |
| Provider Name | Mariana Lazarin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760182760 PECOS PAC ID: 8628439577 Enrollment ID: I20230725003646 |
| Provider Name | Devyn Box |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457063836 PECOS PAC ID: 0244691236 Enrollment ID: I20230808000391 |
| Provider Name | Max Rubenstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417585159 PECOS PAC ID: 3173985298 Enrollment ID: I20230821003414 |
| Provider Name | Rachel Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013663194 PECOS PAC ID: 5890149066 Enrollment ID: I20230922000417 |
| Provider Name | Jessica Strickland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053934562 PECOS PAC ID: 1759735764 Enrollment ID: I20230925003312 |
| Provider Name | Samrawit Dejene Mersha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477201572 PECOS PAC ID: 2769836667 Enrollment ID: I20230926003732 |
| Provider Name | Jeremy C Fuerte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760002356 PECOS PAC ID: 5496109852 Enrollment ID: I20231004000241 |
| Provider Name | Elaine Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326022237 PECOS PAC ID: 8921454133 Enrollment ID: I20231024003734 |
| Provider Name | Maureen Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932511730 PECOS PAC ID: 7618197906 Enrollment ID: I20231026000444 |
| Provider Name | Vicki Blaize |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134731102 PECOS PAC ID: 2365847142 Enrollment ID: I20231102004103 |
| Provider Name | Shakera Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114539798 PECOS PAC ID: 0749637957 Enrollment ID: I20231109002062 |
| Provider Name | Brandy Knudtson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194124420 PECOS PAC ID: 0547617649 Enrollment ID: I20231110002611 |
| Provider Name | Challen Gutekunst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316560998 PECOS PAC ID: 2567810740 Enrollment ID: I20231128003718 |
| Provider Name | Shauna Ruda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396416319 PECOS PAC ID: 2365891108 Enrollment ID: I20231206000113 |
| Provider Name | Christelle Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346762697 PECOS PAC ID: 9537518220 Enrollment ID: I20231206002305 |
| Provider Name | Melita Nerima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518550565 PECOS PAC ID: 2163871831 Enrollment ID: I20231207001387 |
| Provider Name | Peter Marlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982694683 PECOS PAC ID: 8022467414 Enrollment ID: I20231211001819 |
| Provider Name | Michelle Renee Mackey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932627205 PECOS PAC ID: 7113311200 Enrollment ID: I20231217000038 |
| Provider Name | Taralee Wright Birkenstock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093286189 PECOS PAC ID: 8628428372 Enrollment ID: I20231221002173 |
| Provider Name | Maria Rodriguez-roa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114013653 PECOS PAC ID: 2860842077 Enrollment ID: I20240102000163 |
| Provider Name | Alyssa M Mullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780251942 PECOS PAC ID: 0941650956 Enrollment ID: I20240103000167 |
| Provider Name | Stephanie Lyn Dandurand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255624599 PECOS PAC ID: 3779933734 Enrollment ID: I20240103001916 |
| Provider Name | Emily O'rourke-mills |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134430218 PECOS PAC ID: 9638520307 Enrollment ID: I20240105004314 |
| Provider Name | Bronwen Felice Voetelink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922775188 PECOS PAC ID: 5395196521 Enrollment ID: I20240111003172 |
| Provider Name | Dixie Darlene Willis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689441644 PECOS PAC ID: 5395196570 Enrollment ID: I20240111004847 |
| Provider Name | Andrea Laura Pazdera |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043507403 PECOS PAC ID: 2860844776 Enrollment ID: I20240116004219 |
| Provider Name | Paul Geroge-edgar Baesel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841855004 PECOS PAC ID: 6406208230 Enrollment ID: I20240117003576 |
| Provider Name | Lacy Jo Marx |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1043865280 PECOS PAC ID: 7315399953 Enrollment ID: I20240118003092 |
| Provider Name | Jessica Armstrong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861602278 PECOS PAC ID: 6608228143 Enrollment ID: I20240119001936 |
| Provider Name | Paul Wozniak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013379072 PECOS PAC ID: 4789036120 Enrollment ID: I20240122001083 |
| Provider Name | Kasey Joseph Clark Esponda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619689395 PECOS PAC ID: 6305298704 Enrollment ID: I20240122003137 |
| Provider Name | Makayla J Shaklee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285372581 PECOS PAC ID: 2567814833 Enrollment ID: I20240123001161 |
| Provider Name | Samuel Thomas Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376156943 PECOS PAC ID: 0244682516 Enrollment ID: I20240123001309 |
| Provider Name | Chris William Abatelli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619018116 PECOS PAC ID: 3274985486 Enrollment ID: I20240123002687 |
| Provider Name | Candice Leimkuhler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770673071 PECOS PAC ID: 7416309620 Enrollment ID: I20240123002811 |
| Provider Name | Patricia Kottaridis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538699541 PECOS PAC ID: 9335591502 Enrollment ID: I20240124000238 |
| Provider Name | Sahar Mousa Sawaged |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104374461 PECOS PAC ID: 7719330943 Enrollment ID: I20240124002137 |
| Provider Name | Casey Lynn Mullins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063966752 PECOS PAC ID: 2567815715 Enrollment ID: I20240124002816 |
| Provider Name | Mary Lee Churchill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720724909 PECOS PAC ID: 9335592591 Enrollment ID: I20240124003364 |
| Provider Name | Melissa Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336834266 PECOS PAC ID: 6800249905 Enrollment ID: I20240124004865 |
| Provider Name | Christina Marie Carrigan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396267597 PECOS PAC ID: 0749633857 Enrollment ID: I20240125000164 |
| Provider Name | Erin Michele Leach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730824723 PECOS PAC ID: 9931552056 Enrollment ID: I20240125000432 |
| Provider Name | Janeen Kae Mongar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376034645 PECOS PAC ID: 1254784226 Enrollment ID: I20240125002465 |
| Provider Name | Alea Lynn Makley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023500717 PECOS PAC ID: 4880047877 Enrollment ID: I20240125003318 |
| Provider Name | Christopher Thomas Renick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164122123 PECOS PAC ID: 7416300405 Enrollment ID: I20240125003324 |
| Provider Name | Scott Barham |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063010387 PECOS PAC ID: 1658724661 Enrollment ID: I20240125003920 |
| Provider Name | Lisa Ann Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487139051 PECOS PAC ID: 2365895380 Enrollment ID: I20240125004381 |
| Provider Name | Meridith Renee Shuman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407299597 PECOS PAC ID: 7315390333 Enrollment ID: I20240125004589 |
| Provider Name | Brian Lee Darden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891984084 PECOS PAC ID: 8123471166 Enrollment ID: I20240126000207 |
| Provider Name | Russell Patrick Allard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134555477 PECOS PAC ID: 8820440191 Enrollment ID: I20240126000256 |
| Provider Name | Sarah Elizabeth Pettay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396267613 PECOS PAC ID: 4284087222 Enrollment ID: I20240126000326 |
| Provider Name | Katherine Anne Kehoe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831589746 PECOS PAC ID: 0648623603 Enrollment ID: I20240126001012 |
| Provider Name | Erika Fleith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790381390 PECOS PAC ID: 0446603302 Enrollment ID: I20240126001099 |
| Provider Name | Kellye Marie Kehoe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740672179 PECOS PAC ID: 8628421583 Enrollment ID: I20240126001130 |
| Provider Name | Shannon Mcniece |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639758360 PECOS PAC ID: 8325491285 Enrollment ID: I20240126001218 |
| Provider Name | Caroline Lynn Hance |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225793375 PECOS PAC ID: 5294188157 Enrollment ID: I20240126001371 |
| Provider Name | Sondra Sabourin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518158104 PECOS PAC ID: 2062865934 Enrollment ID: I20240126001594 |
| Provider Name | Sarah Christina Rothluebber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578012167 PECOS PAC ID: 6709239692 Enrollment ID: I20240126002423 |
| Provider Name | Ashley Beazer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003527920 PECOS PAC ID: 7113379181 Enrollment ID: I20240126003652 |
| Provider Name | Roberta Kay Gorsuch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417370636 PECOS PAC ID: 2264885193 Enrollment ID: I20240126004090 |
| Provider Name | Madeline Brianne Florez Ramirez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962037820 PECOS PAC ID: 4789037631 Enrollment ID: I20240127000444 |
| Provider Name | Shannon Elizabeth Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144483421 PECOS PAC ID: 1850690751 Enrollment ID: I20240127000519 |
| Provider Name | Anne Frances Hause |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346951217 PECOS PAC ID: 9234581034 Enrollment ID: I20240127000552 |
| Provider Name | Emily Ann Hinkle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710638176 PECOS PAC ID: 1052764834 Enrollment ID: I20240129000976 |
| Provider Name | Molly Ellis Brooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932898301 PECOS PAC ID: 1153774948 Enrollment ID: I20240129001264 |
| Provider Name | Robin S Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881306348 PECOS PAC ID: 3173974235 Enrollment ID: I20240129001997 |
| Provider Name | Alyson Victoria Priest |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598441131 PECOS PAC ID: 0345693156 Enrollment ID: I20240129002012 |
| Provider Name | Renae Maria Dellacroce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366401077 PECOS PAC ID: 7012369788 Enrollment ID: I20240129002858 |
| Provider Name | Whitney Kearney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841688264 PECOS PAC ID: 0244683902 Enrollment ID: I20240129004201 |
| Provider Name | Katherine Elaine Schoech |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528235504 PECOS PAC ID: 7012369796 Enrollment ID: I20240130000579 |
| Provider Name | Rebecca Hooper-esquibel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114443017 PECOS PAC ID: 5597118299 Enrollment ID: I20240130000719 |
| Provider Name | Emily Kathryn O'connor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669948238 PECOS PAC ID: 2769835461 Enrollment ID: I20240130000736 |
| Provider Name | Hillary Erin Sinn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669090643 PECOS PAC ID: 3173976735 Enrollment ID: I20240130003262 |
| Provider Name | Aurora Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316210628 PECOS PAC ID: 4880047448 Enrollment ID: I20240130003329 |
| Provider Name | Tina Marie Jordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982281481 PECOS PAC ID: 3476906041 Enrollment ID: I20240130003529 |
| Provider Name | Stephanie Marie Topol |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477097483 PECOS PAC ID: 6901259571 Enrollment ID: I20240130003612 |
| Provider Name | Mary Anne Botte |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851919732 PECOS PAC ID: 7113370644 Enrollment ID: I20240131002182 |
| Provider Name | Unique L Blake |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891273306 PECOS PAC ID: 6002269545 Enrollment ID: I20240131002320 |
| Provider Name | Corby D Meyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326310764 PECOS PAC ID: 0446603997 Enrollment ID: I20240131002798 |
| Provider Name | Glenn William Tyson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154929255 PECOS PAC ID: 1254783079 Enrollment ID: I20240131004588 |
| Provider Name | Melissa Ford Mccormick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508280454 PECOS PAC ID: 0345693750 Enrollment ID: I20240131005141 |
| Provider Name | Nikki Marie Rossetter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023526225 PECOS PAC ID: 0244683688 Enrollment ID: I20240201001092 |
| Provider Name | Natasha Rashal Kindred |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255032066 PECOS PAC ID: 3678925104 Enrollment ID: I20240201003293 |
| Provider Name | Megan Doucet Krzykowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477020170 PECOS PAC ID: 6608219936 Enrollment ID: I20240203000021 |
| Provider Name | Shayla Brianne Martinez-o'brien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841646015 PECOS PAC ID: 2466895628 Enrollment ID: I20240205004257 |
| Provider Name | Travis Jon Pilarcik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932556123 PECOS PAC ID: 4486097425 Enrollment ID: I20240207001433 |
| Provider Name | Jennifer N Lebrun-morrill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487959201 PECOS PAC ID: 2961845870 Enrollment ID: I20240207004360 |
| Provider Name | Adam Fisher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295824019 PECOS PAC ID: 8820431760 Enrollment ID: I20240208000751 |
| Provider Name | Sara Thrasher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699546945 PECOS PAC ID: 0648613497 Enrollment ID: I20240208001485 |
| Provider Name | Eli Varney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952877151 PECOS PAC ID: 1355793951 Enrollment ID: I20240208002981 |
| Provider Name | Chrystal Lilli Dellinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811477037 PECOS PAC ID: 0345691457 Enrollment ID: I20240209000171 |
| Provider Name | Matthew A Newton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508953829 PECOS PAC ID: 3375986771 Enrollment ID: I20240213000237 |
| Provider Name | Cristyn Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306265319 PECOS PAC ID: 9638512015 Enrollment ID: I20240213003074 |
| Provider Name | Angela Renee Ramage |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932812690 PECOS PAC ID: 4082057476 Enrollment ID: I20240213003485 |
| Provider Name | Cheryl Denese Mlcoch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003957150 PECOS PAC ID: 7315381761 Enrollment ID: I20240214000690 |
| Provider Name | Victoria Callahan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205465416 PECOS PAC ID: 4385088673 Enrollment ID: I20240214002693 |
| Provider Name | Michael Sousa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306334289 PECOS PAC ID: 7719339977 Enrollment ID: I20240214004248 |
| Provider Name | David Rondero |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598837601 PECOS PAC ID: 2264876341 Enrollment ID: I20240216000768 |
| Provider Name | Kristy L Stansell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154063725 PECOS PAC ID: 6002250917 Enrollment ID: I20240220000613 |
| Provider Name | Stacy Lee Shelts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447929179 PECOS PAC ID: 6800230442 Enrollment ID: I20240222000298 |
| Provider Name | Anabella Dubon Selders |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114366564 PECOS PAC ID: 5597100990 Enrollment ID: I20240226000808 |
| Provider Name | Cheri Jacobs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750869459 PECOS PAC ID: 4082059373 Enrollment ID: I20240226004133 |
| Provider Name | Laurel Nard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578054458 PECOS PAC ID: 9436594785 Enrollment ID: I20240227002219 |
| Provider Name | Amy Lefevre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881967057 PECOS PAC ID: 9335584531 Enrollment ID: I20240227004353 |
| Provider Name | Ryan Sutton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407394877 PECOS PAC ID: 5496190456 Enrollment ID: I20240229001053 |
| Provider Name | Michael Ruttenberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336738640 PECOS PAC ID: 7315382322 Enrollment ID: I20240229002582 |
| Provider Name | Petra Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518618610 PECOS PAC ID: 4385089127 Enrollment ID: I20240301003618 |
| Provider Name | Jonathan Mindas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851743769 PECOS PAC ID: 6103261821 Enrollment ID: I20240304001661 |
| Provider Name | Jessica Coe Francis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295085595 PECOS PAC ID: 6608211396 Enrollment ID: I20240304003928 |
| Provider Name | Julia Fitzgerald Ness |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437826088 PECOS PAC ID: 1850737008 Enrollment ID: I20240310000066 |
| Provider Name | Darilyn Schmid |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205351996 PECOS PAC ID: 4981040144 Enrollment ID: I20240311000105 |
| Provider Name | Carmina Blasko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356601637 PECOS PAC ID: 0244676401 Enrollment ID: I20240311000332 |
| Provider Name | Melanie Orr Buckley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619307048 PECOS PAC ID: 5799121968 Enrollment ID: I20240311000525 |
| Provider Name | Shaun M. Mcguire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679232185 PECOS PAC ID: 9537505680 Enrollment ID: I20240311003692 |
| Provider Name | Kelli Robbins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720291479 PECOS PAC ID: 3779929591 Enrollment ID: I20240314001925 |
| Provider Name | Brandon James Lee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043956675 PECOS PAC ID: 5294171906 Enrollment ID: I20240315001426 |
| Provider Name | Mary Lou Gutierrez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992913412 PECOS PAC ID: 7113914649 Enrollment ID: I20240315001500 |
| Provider Name | Sarah Elizabeth Trapp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265076814 PECOS PAC ID: 4082051479 Enrollment ID: I20240320004025 |
| Provider Name | Beverly Houston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154024255 PECOS PAC ID: 9931546322 Enrollment ID: I20240320004269 |
| Provider Name | Cathie Bonham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952606154 PECOS PAC ID: 2062859291 Enrollment ID: I20240325000754 |
| Provider Name | Amy Stacy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457897951 PECOS PAC ID: 5395182422 Enrollment ID: I20240325001356 |
| Provider Name | Rachel Elizabeth Miner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922652023 PECOS PAC ID: 2567809536 Enrollment ID: I20240326002601 |
| Provider Name | Katriona Shannen Mortimore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528745544 PECOS PAC ID: 7911344916 Enrollment ID: I20240326003851 |
| Provider Name | Alexandra Lauren Prevost Papa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164770608 PECOS PAC ID: 2163860842 Enrollment ID: I20240401000235 |
| Provider Name | Sandra Indiana Selvon-semin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083232987 PECOS PAC ID: 0446698062 Enrollment ID: I20240402002173 |
| Provider Name | Earl Faulkner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578784377 PECOS PAC ID: 2062720196 Enrollment ID: I20240403003598 |
| Provider Name | Robin Faris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023671344 PECOS PAC ID: 5698113728 Enrollment ID: I20240409000758 |
| Provider Name | Christopher Dimarcella |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992170740 PECOS PAC ID: 5698113751 Enrollment ID: I20240409001737 |
| Provider Name | Mary Wolfe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013501006 PECOS PAC ID: 6002254927 Enrollment ID: I20240410002570 |
| Provider Name | Erin Bourke Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497402382 PECOS PAC ID: 0143669986 Enrollment ID: I20240412003550 |
| Provider Name | Elizabeth Anne Sheaffer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447864913 PECOS PAC ID: 1759720998 Enrollment ID: I20240419002606 |
| Provider Name | Danielle Elizabeth De Boer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245874668 PECOS PAC ID: 4981043155 Enrollment ID: I20240419003658 |
| Provider Name | James L Bixler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013177989 PECOS PAC ID: 3072952266 Enrollment ID: I20240422000416 |
| Provider Name | Dawnelle J. Schatte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710991005 PECOS PAC ID: 2860499209 Enrollment ID: I20240430001281 |
| Provider Name | Susan Torres |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003269879 PECOS PAC ID: 1355781741 Enrollment ID: I20240502001315 |
| Provider Name | Alexis Renate Hay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609622703 PECOS PAC ID: 7719429901 Enrollment ID: I20240603003283 |
| Provider Name | Catherine Olges Mccormick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992467658 PECOS PAC ID: 4789126905 Enrollment ID: I20240604000340 |
| Provider Name | Stacey Hind |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811491020 PECOS PAC ID: 5890237366 Enrollment ID: I20240612001264 |
| Provider Name | Nina Dippon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417578022 PECOS PAC ID: 5294113502 Enrollment ID: I20240613002627 |
| Provider Name | Shannon Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407382682 PECOS PAC ID: 1355884818 Enrollment ID: I20240625002194 |
| Provider Name | Akilah Nasiya Mcghee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194082453 PECOS PAC ID: 0446794911 Enrollment ID: I20240626001774 |
| Provider Name | Ashley Kay Abbott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235983610 PECOS PAC ID: 0345784815 Enrollment ID: I20240626001805 |
| Provider Name | Sara Pickup |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972226264 PECOS PAC ID: 5092250589 Enrollment ID: I20240709001460 |
| Provider Name | Kristen Seagren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225806649 PECOS PAC ID: 7012452436 Enrollment ID: I20240710001944 |
| Provider Name | Kaitlin Marie Wickstrom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356957443 PECOS PAC ID: 6901341858 Enrollment ID: I20240716000040 |
| Provider Name | Tiffany Stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083080139 PECOS PAC ID: 7416492186 Enrollment ID: I20240717003686 |
| Provider Name | James Marrugo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801434394 PECOS PAC ID: 8921544438 Enrollment ID: I20240720000164 |
| Provider Name | Jill Sorensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912379009 PECOS PAC ID: 9830635358 Enrollment ID: I20240720000483 |
| Provider Name | Katherine Aurora Willie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114556677 PECOS PAC ID: 8022449800 Enrollment ID: I20240722004116 |
| Provider Name | Luke Porter Bacon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831718568 PECOS PAC ID: 8527484807 Enrollment ID: I20240723004306 |
| Provider Name | Cecilia Gregory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437558665 PECOS PAC ID: 9830416338 Enrollment ID: I20240724001942 |
| Provider Name | Caroline Nevin Dorr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114430659 PECOS PAC ID: 7810433869 Enrollment ID: I20240725003374 |
| Provider Name | Amanda Mardel Gwirtz Nestler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457815862 PECOS PAC ID: 8729524681 Enrollment ID: I20240726003212 |
| Provider Name | Lorrie Marie Guerra |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1093167637 PECOS PAC ID: 3173069069 Enrollment ID: I20240727000597 |
| Provider Name | Erin Isabel Dooley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285187153 PECOS PAC ID: 7315483211 Enrollment ID: I20240728000043 |
| Provider Name | Abigail Graham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508529744 PECOS PAC ID: 9739625633 Enrollment ID: I20240729000050 |
| Provider Name | Charlton Todd Clarke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285989863 PECOS PAC ID: 4587101324 Enrollment ID: I20240730001025 |
| Provider Name | Amanda Carlson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093482176 PECOS PAC ID: 7012454762 Enrollment ID: I20240731001290 |
| Provider Name | Ariadna I Cedeno-sanchez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699932335 PECOS PAC ID: 2466990320 Enrollment ID: I20240812000123 |
| Provider Name | Dawn W Pendleton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114143039 PECOS PAC ID: 3779021647 Enrollment ID: I20240812000393 |
| Provider Name | Donald Manuel Rincon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154767895 PECOS PAC ID: 9931647377 Enrollment ID: I20240815002899 |
| Provider Name | Donya Joanne Boudeman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669707923 PECOS PAC ID: 1658660923 Enrollment ID: I20240819000175 |
| Provider Name | Linda J. Green-baskett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639422553 PECOS PAC ID: 2567900608 Enrollment ID: I20240820002157 |
| Provider Name | Petr Vitkovskiy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467077875 PECOS PAC ID: 5597204529 Enrollment ID: I20240822001229 |
| Provider Name | Joel Jason Berscheid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073131983 PECOS PAC ID: 2466991351 Enrollment ID: I20240822004295 |
| Provider Name | Darrel Lee Beaty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760991251 PECOS PAC ID: 6709326267 Enrollment ID: I20240911000495 |
| Provider Name | Meaghan Hart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285479527 PECOS PAC ID: 0648711655 Enrollment ID: I20240918000782 |
| Provider Name | Joshua Sanders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285039073 PECOS PAC ID: 3577004274 Enrollment ID: I20240921000396 |
| Provider Name | Robert Lee Holman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750914487 PECOS PAC ID: 2961943444 Enrollment ID: I20240924003656 |
| Provider Name | Rosanne Minolfo Surine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023142262 PECOS PAC ID: 3678014180 Enrollment ID: I20240924004695 |
| Provider Name | Gena Renai Haley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124128210 PECOS PAC ID: 3678004868 Enrollment ID: I20240928000064 |
| Provider Name | Ethan Dahlberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073284634 PECOS PAC ID: 3870025992 Enrollment ID: I20241015000757 |
| Provider Name | Ruby Granlund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225688088 PECOS PAC ID: 3678961356 Enrollment ID: I20241016004535 |
| Provider Name | Jennifer Morales |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851901615 PECOS PAC ID: 6507398310 Enrollment ID: I20241017004040 |
| Provider Name | Sarah Margaret Horvath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588750442 PECOS PAC ID: 9739100603 Enrollment ID: I20241017004223 |
| Provider Name | Cherisse Elizabeth Mcnaughton-balzano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144651357 PECOS PAC ID: 0042742660 Enrollment ID: I20241021000736 |
| Provider Name | Meredith E Guarco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265185342 PECOS PAC ID: 4183157589 Enrollment ID: I20241023003698 |
| Provider Name | Kristi Alana Brown |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730232992 PECOS PAC ID: 7416480843 Enrollment ID: I20241024000253 |
| Provider Name | Giselle L Mcintyre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336777937 PECOS PAC ID: 4183020191 Enrollment ID: I20241031000218 |
| Provider Name | Martin Henry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588283790 PECOS PAC ID: 3870924236 Enrollment ID: I20241101002267 |
| Provider Name | Patricia L Kohler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891250841 PECOS PAC ID: 1850825225 Enrollment ID: I20241107000963 |
| Provider Name | Nicole C Tarcha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790302016 PECOS PAC ID: 6800320532 Enrollment ID: I20241118000242 |
| Provider Name | Alessia Stringini Maderick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699506527 PECOS PAC ID: 5092240663 Enrollment ID: I20241120001810 |
| Provider Name | Erin R Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306613344 PECOS PAC ID: 2668907130 Enrollment ID: I20241120002184 |
| Provider Name | Hailey Ozsvath |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295569341 PECOS PAC ID: 2567997695 Enrollment ID: I20241126000621 |
| Provider Name | Alyssa Anne Granger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881354652 PECOS PAC ID: 6002341922 Enrollment ID: I20241202000121 |
| Provider Name | Alyssa Rudawsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073336350 PECOS PAC ID: 7416483151 Enrollment ID: I20241205000918 |
| Provider Name | Jamie Gordon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619408036 PECOS PAC ID: 9335675396 Enrollment ID: I20241213001581 |
Beyond Beautiful, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 716 N Tejon Ave # 7, Colorado Springs, CO 80903 Phone: 719-598-7800 Fax: 719-204-3829 | |
New Solutions Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13879 Single Leaf Ct, Colorado Springs, CO 80921 Phone: 719-231-0527 | |
Peak Interventions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 N Arcadia St, Colorado Springs, CO 80903 Phone: 720-384-5312 | |
Restorative Place Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2790 N Academy Blvd Ste 206, Colorado Springs, CO 80917 Phone: 719-259-3834 | |
Lentz Psychological Services, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5855 Lehman Dr Ste 202, Colorado Springs, CO 80918 Phone: 719-551-9911 Fax: 719-596-9636 | |
Alive Connections Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Elkton Dr Ste 300, Colorado Springs, CO 80907 Phone: 719-650-1200 Fax: 719-619-2439 |