| Ignite Counseling Colorado | |
|
8758 Wolff Ct Ste 205 Westminster CO 80031-6904 | |
| (303) 542-8338 | |
| Not Available |
| Full Name | Ignite Counseling Colorado |
|---|---|
| Speciality | Clinic/Center |
| Location | 8758 Wolff Ct Ste 205, Westminster, Colorado |
| Authorized Official Name and Position | Carla D'agostino-vigil (OWNER/PROVIDER) |
| Authorized Official Contact | 3035786336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ignite Counseling Colorado 8758 Wolff Ct Ste 205 Westminster CO 80031-6904 Ph: (303) 542-8338 | Ignite Counseling Colorado 8758 Wolff Ct Ste 205 Westminster CO 80031-6904 Ph: (303) 542-8338 |
| NPI Number | 1437790201 |
|---|---|
| Provider Enumeration Date | 10/03/2019 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Medicare PECOS PAC ID | 4082054846 |
|---|---|
| Medicare Enrollment ID | O20240429000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437790201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Carla Elaine D'agostino-vigil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427587062 PECOS PAC ID: 6800236662 Enrollment ID: I20240429000149 |
| Provider Name | Hester Elizabeth Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518434265 PECOS PAC ID: 5698115111 Enrollment ID: I20240501002524 |
| Provider Name | Robert Flowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528572963 PECOS PAC ID: 1153675616 Enrollment ID: I20240611003129 |
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