| Identity Insights Llc | |
|
2470 Patterson Rd Ste 6 Grand Junction CO 81505-1028 | |
| (970) 644-2392 | |
| Not Available |
| Full Name | Identity Insights Llc |
|---|---|
| Speciality | Counselor |
| Location | 2470 Patterson Rd Ste 6, Grand Junction, Colorado |
| Authorized Official Name and Position | Devin Pinkston (LPC / OWNER) |
| Authorized Official Contact | 9706442392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Identity Insights Llc 2470 Patterson Rd Ste 6 Grand Junction CO 81505-1028 Ph: () - | Identity Insights Llc 2470 Patterson Rd Ste 6 Grand Junction CO 81505-1028 Ph: (970) 644-2392 |
| NPI Number | 1093369084 |
|---|---|
| Provider Enumeration Date | 07/28/2019 |
| Last Update Date | 07/28/2019 |
| Medicare PECOS PAC ID | 5991137713 |
|---|---|
| Medicare Enrollment ID | O20191118000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093369084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer June Crowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023445897 PECOS PAC ID: 7416206404 Enrollment ID: I20180824000554 |
| Provider Name | Megan Marie Sand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285191320 PECOS PAC ID: 5294132189 Enrollment ID: I20210920002199 |
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