| Integrated Insight Therapy, Llc | |
|
555 Meeker St Delta CO 81416-1920 | |
| (970) 201-1467 | |
| Not Available |
| Full Name | Integrated Insight Therapy, Llc |
|---|---|
| Speciality | Counselor |
| Location | 555 Meeker St, Delta, Colorado |
| Authorized Official Name and Position | Joel L Watts (CEO) |
| Authorized Official Contact | 8123046062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Insight Therapy, Llc 543 Main St Delta CO 81416-1817 Ph: (970) 201-1467 | Integrated Insight Therapy, Llc 555 Meeker St Delta CO 81416-1920 Ph: (970) 201-1467 |
| NPI Number | 1124687553 |
|---|---|
| Provider Enumeration Date | 06/10/2019 |
| Last Update Date | 06/19/2023 |
| Certification Date | 06/19/2023 |
| Medicare PECOS PAC ID | 0042622102 |
|---|---|
| Medicare Enrollment ID | O20210507000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124687553 | NPI | - | NPPES |
| 9000158170 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jed M Kovach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265507560 PECOS PAC ID: 6800837287 Enrollment ID: I20050516000800 |
| Provider Name | Lisa D Mcconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659608479 PECOS PAC ID: 7214077296 Enrollment ID: I20091223000232 |
| Provider Name | Teresa Ann Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487715942 PECOS PAC ID: 8224213459 Enrollment ID: I20140324000192 |
| Provider Name | Dena L Ridenour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750452207 PECOS PAC ID: 4183671225 Enrollment ID: I20160223000550 |
| Provider Name | Jacklyn S Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235764143 PECOS PAC ID: 2365872454 Enrollment ID: I20200507000534 |
| Provider Name | Kate M Wogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003456203 PECOS PAC ID: 8123396611 Enrollment ID: I20200709003456 |
| Provider Name | Miranda J Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912376229 PECOS PAC ID: 2466861158 Enrollment ID: I20210510002029 |
| Provider Name | Brenda Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831254879 PECOS PAC ID: 8426438714 Enrollment ID: I20230621001084 |
| Provider Name | Marisela E. Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336481910 PECOS PAC ID: 2567826316 Enrollment ID: I20230912001984 |
| Provider Name | Micah Brittani Massey Bair |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629651401 PECOS PAC ID: 1153774088 Enrollment ID: I20240126004176 |
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Delta Hangout Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Meeker St, Delta, CO 81416 Phone: 970-399-3133 | |
Grand Valley Wellness, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 300 Stafford Ln Ste 30248, Delta, CO 81416 Phone: 970-399-5990 | |
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