| Jefferson Center For Mental Health | |
|
4851 Independence St Wheat Ridge CO 80033-6715 | |
| (303) 425-0300 | |
| (303) 432-5071 |
| Full Name | Jefferson Center For Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 4851 Independence St, Wheat Ridge, Colorado |
| Authorized Official Name and Position | David A Goff (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3034325164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Center For Mental Health 4851 Independence St Ste 200 Wheat Ridge CO 80033-6712 Ph: (303) 425-0300 | Jefferson Center For Mental Health 4851 Independence St Wheat Ridge CO 80033-6715 Ph: (303) 425-0300 |
| NPI Number | 1154403798 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 01/13/2021 |
| Certification Date | 01/13/2021 |
| Medicare PECOS PAC ID | 9032018882 |
|---|---|
| Medicare Enrollment ID | O20031231000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154403798 | NPI | - | NPPES |
| 9000130227 | Medicaid | CO |
| Provider Name | Margaret Lackey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669495404 PECOS PAC ID: 6305759242 Enrollment ID: I20031107000141 |
| Provider Name | Donald Bechtold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114077534 PECOS PAC ID: 8022917525 Enrollment ID: I20040105000141 |
| Provider Name | Donna M Grandi-nikander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689890303 PECOS PAC ID: 0345130589 Enrollment ID: I20040401001026 |
| Provider Name | Regina Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144264276 PECOS PAC ID: 5496734477 Enrollment ID: I20040714000827 |
| Provider Name | John P Martens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013921527 PECOS PAC ID: 4981679610 Enrollment ID: I20040826001449 |
| Provider Name | Jill Kauffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962549444 PECOS PAC ID: 3476522418 Enrollment ID: I20040928000060 |
| Provider Name | Barbara J Mannel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578775912 PECOS PAC ID: 3375595242 Enrollment ID: I20050218000563 |
| Provider Name | Christopher Drew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821136755 PECOS PAC ID: 6901810670 Enrollment ID: I20060201000808 |
| Provider Name | Kelley K Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740326289 PECOS PAC ID: 5294745295 Enrollment ID: I20060504000192 |
| Provider Name | Kelli Dond Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558370726 PECOS PAC ID: 0547268997 Enrollment ID: I20061117000496 |
| Provider Name | Kristin M Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184701799 PECOS PAC ID: 4587607114 Enrollment ID: I20061211000112 |
| Provider Name | Mary J Whitman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316072648 PECOS PAC ID: 2860583242 Enrollment ID: I20070814000794 |
| Provider Name | Andrew A Halpern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245327600 PECOS PAC ID: 8325079502 Enrollment ID: I20080602000652 |
| Provider Name | Valerie L Cattany |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134394703 PECOS PAC ID: 1658444211 Enrollment ID: I20080716000159 |
| Provider Name | Elizabeth L Chandler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083854871 PECOS PAC ID: 8729145099 Enrollment ID: I20090401000230 |
| Provider Name | Margaret J Kaems |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033304134 PECOS PAC ID: 5496895195 Enrollment ID: I20091210000258 |
| Provider Name | Vicki Lynn Quarles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467577932 PECOS PAC ID: 5092798421 Enrollment ID: I20100611000190 |
| Provider Name | Dulcinea R Prai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316121445 PECOS PAC ID: 0244360360 Enrollment ID: I20100615000815 |
| Provider Name | Lynne Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336376128 PECOS PAC ID: 9739205089 Enrollment ID: I20100924000163 |
| Provider Name | Matthew B Enright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245380724 PECOS PAC ID: 5597959064 Enrollment ID: I20101028000618 |
| Provider Name | Shannon C Tyson-poletti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588716260 PECOS PAC ID: 6204020522 Enrollment ID: I20101101000737 |
| Provider Name | Mary A Scarpino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386834729 PECOS PAC ID: 1254515570 Enrollment ID: I20110412000412 |
| Provider Name | Nancy A Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215053848 PECOS PAC ID: 2062697808 Enrollment ID: I20110421000287 |
| Provider Name | Sharon D Stremel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861542292 PECOS PAC ID: 3971789314 Enrollment ID: I20110518000861 |
| Provider Name | Deidrea M Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982732426 PECOS PAC ID: 7911183181 Enrollment ID: I20110524000400 |
| Provider Name | Gerald Celebre |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407036791 PECOS PAC ID: 0143406280 Enrollment ID: I20110525000442 |
| Provider Name | Ann P Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467575167 PECOS PAC ID: 6507043031 Enrollment ID: I20110608000783 |
| Provider Name | Rebecca Joy Oliveira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073663647 PECOS PAC ID: 9739350299 Enrollment ID: I20110914000448 |
| Provider Name | Robert J Worth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861542342 PECOS PAC ID: 3476724139 Enrollment ID: I20110929000297 |
| Provider Name | Elizabeth Shumann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780802546 PECOS PAC ID: 3375715188 Enrollment ID: I20111020000036 |
| Provider Name | Rachel M Collins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568682110 PECOS PAC ID: 5991989402 Enrollment ID: I20111115000374 |
| Provider Name | Heather L Steffen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457539603 PECOS PAC ID: 2365616653 Enrollment ID: I20111123000211 |
| Provider Name | Laura Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821325473 PECOS PAC ID: 4183880651 Enrollment ID: I20120727000336 |
| Provider Name | Tamara B Rady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447292115 PECOS PAC ID: 2567609845 Enrollment ID: I20130503000389 |
| Provider Name | Lindsay O Schneck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871922039 PECOS PAC ID: 5496982266 Enrollment ID: I20131226001402 |
| Provider Name | Maria Zarlengo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760532238 PECOS PAC ID: 0941423966 Enrollment ID: I20140520002297 |
| Provider Name | Diane Eberle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932441045 PECOS PAC ID: 1658594312 Enrollment ID: I20140527001063 |
| Provider Name | Kristina Pc Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073761052 PECOS PAC ID: 7517180920 Enrollment ID: I20140603000545 |
| Provider Name | Meredith T Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811010598 PECOS PAC ID: 6709006521 Enrollment ID: I20140930000763 |
| Provider Name | Adam Slack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275701484 PECOS PAC ID: 8426279621 Enrollment ID: I20141030002307 |
| Provider Name | Sally A Hellane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548576788 PECOS PAC ID: 4880821255 Enrollment ID: I20141201000380 |
| Provider Name | Debra W Keane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871889089 PECOS PAC ID: 5496077323 Enrollment ID: I20141204000992 |
| Provider Name | Taya S Keller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114119120 PECOS PAC ID: 6406179639 Enrollment ID: I20141219000980 |
| Provider Name | Kirsten Kloock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295126571 PECOS PAC ID: 8628397098 Enrollment ID: I20150506001657 |
| Provider Name | Deborah Corriero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427449198 PECOS PAC ID: 8022338300 Enrollment ID: I20150528000875 |
| Provider Name | Richard E Craven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700998036 PECOS PAC ID: 6901952878 Enrollment ID: I20151102000356 |
| Provider Name | Jodi Lovejoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164645602 PECOS PAC ID: 7911141270 Enrollment ID: I20160222000830 |
| Provider Name | Hailey Hegland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568848968 PECOS PAC ID: 4587953989 Enrollment ID: I20160524000836 |
| Provider Name | Rebecca M Lane-ramsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578829511 PECOS PAC ID: 1153611876 Enrollment ID: I20160608000307 |
| Provider Name | Jessica G Viton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700117884 PECOS PAC ID: 6608909122 Enrollment ID: I20160812000080 |
| Provider Name | Dustin G Shivar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144479197 PECOS PAC ID: 1052549615 Enrollment ID: I20161024001444 |
| Provider Name | Maureen A Ullrich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891923223 PECOS PAC ID: 5597044917 Enrollment ID: I20161108000253 |
| Provider Name | Brean A Roman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821378258 PECOS PAC ID: 2264714963 Enrollment ID: I20170112001289 |
| Provider Name | Himal Shrestha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023308061 PECOS PAC ID: 0749562858 Enrollment ID: I20170125002917 |
| Provider Name | Lauren Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558763144 PECOS PAC ID: 2668756214 Enrollment ID: I20170228001020 |
| Provider Name | Eileen Pincus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952660953 PECOS PAC ID: 0840575643 Enrollment ID: I20170317000789 |
| Provider Name | Laurie Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053681437 PECOS PAC ID: 2668757279 Enrollment ID: I20170322001903 |
| Provider Name | Kara J Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417295726 PECOS PAC ID: 8325285059 Enrollment ID: I20170322002372 |
| Provider Name | Kiley Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083007843 PECOS PAC ID: 8022394675 Enrollment ID: I20170413001149 |
| Provider Name | Marcus Maddux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154474690 PECOS PAC ID: 0446337976 Enrollment ID: I20170531001036 |
| Provider Name | Kayla A Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750789012 PECOS PAC ID: 9436428265 Enrollment ID: I20170710002292 |
| Provider Name | Brynn Jollay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992036479 PECOS PAC ID: 0749416196 Enrollment ID: I20170712002285 |
| Provider Name | Amy J Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851837371 PECOS PAC ID: 2668741265 Enrollment ID: I20170712002939 |
| Provider Name | Kathryn S Andres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457673303 PECOS PAC ID: 7113298191 Enrollment ID: I20170809002919 |
| Provider Name | Brent C Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245644483 PECOS PAC ID: 7618240714 Enrollment ID: I20170912002953 |
| Provider Name | Marlene A Pino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508310558 PECOS PAC ID: 6901170877 Enrollment ID: I20170918000360 |
| Provider Name | Theodore J Anfinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992838718 PECOS PAC ID: 5092734954 Enrollment ID: I20171011002377 |
| Provider Name | Meghan G Pataky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114335031 PECOS PAC ID: 1951667013 Enrollment ID: I20171107001226 |
| Provider Name | Angela Callaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811364516 PECOS PAC ID: 8426315169 Enrollment ID: I20171205000982 |
| Provider Name | Janna Yost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396151270 PECOS PAC ID: 1153680152 Enrollment ID: I20180122000218 |
| Provider Name | Kathleen Burnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093117467 PECOS PAC ID: 6406117084 Enrollment ID: I20180222000038 |
| Provider Name | Ashley Elizabeth Wiersma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235646209 PECOS PAC ID: 0941561492 Enrollment ID: I20180227000142 |
| Provider Name | Britt Ritchie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952803082 PECOS PAC ID: 7113289364 Enrollment ID: I20180328000256 |
| Provider Name | Kathleen Baur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598814105 PECOS PAC ID: 4385827658 Enrollment ID: I20180427001946 |
| Provider Name | Rhonda Hornsby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144630427 PECOS PAC ID: 0840554754 Enrollment ID: I20180501000390 |
| Provider Name | Erin Manzolillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679973952 PECOS PAC ID: 8527323583 Enrollment ID: I20180523001095 |
| Provider Name | Adriana C Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730576042 PECOS PAC ID: 2567497753 Enrollment ID: I20180606000473 |
| Provider Name | Kurtt Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144758525 PECOS PAC ID: 0244585347 Enrollment ID: I20180613001787 |
| Provider Name | Janae Gray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013443258 PECOS PAC ID: 3779839048 Enrollment ID: I20180629001021 |
| Provider Name | Alison Rose Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700259884 PECOS PAC ID: 5799031522 Enrollment ID: I20180709001568 |
| Provider Name | Janet C Malcolm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356593180 PECOS PAC ID: 0345591335 Enrollment ID: I20181002001207 |
| Provider Name | Rachael Saffa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801332655 PECOS PAC ID: 4587918909 Enrollment ID: I20181121000042 |
| Provider Name | Kristine Marie Ocasek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881969327 PECOS PAC ID: 0749526267 Enrollment ID: I20190103002809 |
| Provider Name | David M Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295707594 PECOS PAC ID: 4082779715 Enrollment ID: I20190207001866 |
| Provider Name | James Camp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386119568 PECOS PAC ID: 0446598965 Enrollment ID: I20190207002811 |
| Provider Name | Adam Maher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194006031 PECOS PAC ID: 7416296868 Enrollment ID: I20190228002057 |
| Provider Name | Kelci T Sansoni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295155331 PECOS PAC ID: 2466792155 Enrollment ID: I20190315000560 |
| Provider Name | Gretchen Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518212075 PECOS PAC ID: 7911247176 Enrollment ID: I20190326000564 |
| 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 | Lana L Van Egeren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407868243 PECOS PAC ID: 6002159209 Enrollment ID: I20190509001884 |
| Provider Name | Christina D Titcomb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992171623 PECOS PAC ID: 0941533137 Enrollment ID: I20190603001204 |
| Provider Name | Anna Rebecca Breuer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740448935 PECOS PAC ID: 8123398021 Enrollment ID: I20190620002733 |
| Provider Name | Anne R Shaul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457438871 PECOS PAC ID: 2163750498 Enrollment ID: I20190826000500 |
| Provider Name | Angel Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205497179 PECOS PAC ID: 5597093658 Enrollment ID: I20190827003638 |
| Provider Name | Laura K Shapiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174028302 PECOS PAC ID: 1658600689 Enrollment ID: I20190917000296 |
| Provider Name | Gregory Kuo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235659657 PECOS PAC ID: 5294167524 Enrollment ID: I20191107000831 |
| Provider Name | Angela Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376194548 PECOS PAC ID: 2264864925 Enrollment ID: I20191118002675 |
| Provider Name | Ian G. Wheat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275952624 PECOS PAC ID: 2163712282 Enrollment ID: I20191204001121 |
| Provider Name | Nancy A Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972963569 PECOS PAC ID: 3375978786 Enrollment ID: I20200113001948 |
| Provider Name | Annah Christine Wisotzkey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194074617 PECOS PAC ID: 7719312859 Enrollment ID: I20200116002895 |
| Provider Name | Emily Grados |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215211461 PECOS PAC ID: 8921435439 Enrollment ID: I20200224000130 |
| Provider Name | Lindsey Calder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730595166 PECOS PAC ID: 8820429285 Enrollment ID: I20200519001665 |
| Provider Name | Caitlin J Wheatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245592690 PECOS PAC ID: 3577984715 Enrollment ID: I20200526002880 |
| Provider Name | Ramona Vonseggern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821464363 PECOS PAC ID: 4486075934 Enrollment ID: I20200609001101 |
| Provider Name | Charity Sue Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730572413 PECOS PAC ID: 2466874375 Enrollment ID: I20200623002052 |
| Provider Name | Laura Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023581139 PECOS PAC ID: 0143647495 Enrollment ID: I20200901001186 |
| Provider Name | Rachel Neff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508341504 PECOS PAC ID: 2961822614 Enrollment ID: I20201019000575 |
| Provider Name | Kendra Dickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083021117 PECOS PAC ID: 3577983840 Enrollment ID: I20201027000269 |
| Provider Name | Kristie Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538647854 PECOS PAC ID: 1850701855 Enrollment ID: I20201103001147 |
| Provider Name | Rachelle Stroh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033622014 PECOS PAC ID: 2264842210 Enrollment ID: I20201103002595 |
| Provider Name | Elizabeth Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952855124 PECOS PAC ID: 1759780406 Enrollment ID: I20210528001502 |
| Provider Name | Amanda Lehrer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881073542 PECOS PAC ID: 2365842317 Enrollment ID: I20210611001891 |
| Provider Name | Mervi Buchler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952936460 PECOS PAC ID: 4688079387 Enrollment ID: I20210818002404 |
| Provider Name | Sara Holing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356013429 PECOS PAC ID: 6901294537 Enrollment ID: I20211101000259 |
| Provider Name | Mary Beatrice Ohara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124674148 PECOS PAC ID: 6103156831 Enrollment ID: I20211102002339 |
| Provider Name | Emily Thorne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871156869 PECOS PAC ID: 5092104885 Enrollment ID: I20211117000646 |
| Provider Name | Samuel Parmenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568948313 PECOS PAC ID: 8224427976 Enrollment ID: I20211118000278 |
| Provider Name | Lauren E Mcmullin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023301793 PECOS PAC ID: 7517298722 Enrollment ID: I20211217001960 |
| Provider Name | Julia Kassman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134719404 PECOS PAC ID: 5698160158 Enrollment ID: I20220318001651 |
| Provider Name | Christina Sphar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902373079 PECOS PAC ID: 5294120754 Enrollment ID: I20220318001813 |
| Provider Name | Danielle Bravo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699246587 PECOS PAC ID: 0345635819 Enrollment ID: I20220318001983 |
| Provider Name | Mikaelah Robledo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821623497 PECOS PAC ID: 1951797091 Enrollment ID: I20220330000200 |
| Provider Name | Abigail Donate |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235656620 PECOS PAC ID: 0749676898 Enrollment ID: I20220330000332 |
| Provider Name | Heide Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689902793 PECOS PAC ID: 3476949991 Enrollment ID: I20220411001404 |
| Provider Name | Mckenna Joosten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235862426 PECOS PAC ID: 3577945690 Enrollment ID: I20220804003767 |
| Provider Name | Angela Resman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619526985 PECOS PAC ID: 8628452844 Enrollment ID: I20220907000506 |
| Provider Name | Sidney Lollar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124669098 PECOS PAC ID: 8022494723 Enrollment ID: I20221004001467 |
| Provider Name | Michelle Ohde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184057358 PECOS PAC ID: 0042687279 Enrollment ID: I20221101001691 |
| Provider Name | Paul Palumbo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124740378 PECOS PAC ID: 4880061449 Enrollment ID: I20221110002328 |
| Provider Name | Carly Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326647660 PECOS PAC ID: 0840667416 Enrollment ID: I20221110002546 |
| Provider Name | Mary Mckenney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225745375 PECOS PAC ID: 5395114755 Enrollment ID: I20221207002576 |
| Provider Name | Alexis Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467113092 PECOS PAC ID: 5395138630 Enrollment ID: I20221222000347 |
| Provider Name | Tiffany Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790049443 PECOS PAC ID: 2163894569 Enrollment ID: I20230213001614 |
| Provider Name | Monica Connell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366150831 PECOS PAC ID: 2860864071 Enrollment ID: I20230216003111 |
| Provider Name | Trevor Zarnowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932488624 PECOS PAC ID: 6901279025 Enrollment ID: I20230309003041 |
| Provider Name | Samantha Trefry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366810269 PECOS PAC ID: 0446623565 Enrollment ID: I20230309003083 |
| Provider Name | Erin Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801374509 PECOS PAC ID: 3678947306 Enrollment ID: I20230321001469 |
| Provider Name | Michael Charles Cepero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790047413 PECOS PAC ID: 1557720315 Enrollment ID: I20230711003507 |
| Provider Name | Holly Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356096234 PECOS PAC ID: 5092177329 Enrollment ID: I20230823004732 |
| Provider Name | Angela Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588815690 PECOS PAC ID: 2264896935 Enrollment ID: I20231017003871 |
| Provider Name | Teresa Jill Norris Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881353431 PECOS PAC ID: 0244688125 Enrollment ID: I20231204001096 |
| Provider Name | Dane Brooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720546971 PECOS PAC ID: 3274985155 Enrollment ID: I20240116003017 |
| Provider Name | Alyssa Stevens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851946628 PECOS PAC ID: 8628420452 Enrollment ID: I20240117003715 |
| Provider Name | Kristen Wheeler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740913888 PECOS PAC ID: 8426400250 Enrollment ID: I20240117003793 |
| Provider Name | Luke Vitagliano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275088080 PECOS PAC ID: 8729430400 Enrollment ID: I20240118000722 |
| Provider Name | Jessica Veillon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700514650 PECOS PAC ID: 9032561683 Enrollment ID: I20240118003493 |
| Provider Name | Jessica Armstrong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861602278 PECOS PAC ID: 6608228143 Enrollment ID: I20240119001936 |
| Provider Name | Autumn Taylor Mooney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134687551 PECOS PAC ID: 6901258490 Enrollment ID: I20240119003769 |
| Provider Name | Denise Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477216232 PECOS PAC ID: 4385096767 Enrollment ID: I20240122002453 |
| Provider Name | Virginia Low |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558720896 PECOS PAC ID: 6608228929 Enrollment ID: I20240122004223 |
| Provider Name | Debra Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982894366 PECOS PAC ID: 5991158826 Enrollment ID: I20240126004107 |
| Provider Name | Emily Alyssa Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114590809 PECOS PAC ID: 1254784960 Enrollment ID: I20240130001164 |
| Provider Name | Meredith Silva |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831555812 PECOS PAC ID: 0547613192 Enrollment ID: I20240130002861 |
| Provider Name | Lindsay Nicole Ritscher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467854000 PECOS PAC ID: 5698128254 Enrollment ID: I20240130003351 |
| Provider Name | Kelly Atwater Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366819195 PECOS PAC ID: 2466805973 Enrollment ID: I20240131004994 |
| Provider Name | Morgan Taylor Horneck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750891255 PECOS PAC ID: 0244683563 Enrollment ID: I20240201004218 |
| Provider Name | Katherine Labore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053627141 PECOS PAC ID: 5799128443 Enrollment ID: I20240209000115 |
| Provider Name | Kylie Rae Slavek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174147532 PECOS PAC ID: 0749623296 Enrollment ID: I20240212002513 |
| Provider Name | Cynthia Giffen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285107763 PECOS PAC ID: 5597108993 Enrollment ID: I20240213000138 |
| Provider Name | Yukit Tse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346999612 PECOS PAC ID: 1850735283 Enrollment ID: I20240214000298 |
| Provider Name | Erin Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821649120 PECOS PAC ID: 6204270382 Enrollment ID: I20240216001005 |
| Provider Name | Raquel Schneider |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407210354 PECOS PAC ID: 5193169829 Enrollment ID: I20240221000873 |
| Provider Name | Julia Eckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396478947 PECOS PAC ID: 1850736596 Enrollment ID: I20240304002374 |
| Provider Name | Bao Vang |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740650415 PECOS PAC ID: 5395181846 Enrollment ID: I20240307000703 |
| Provider Name | Chelsea Lauren Mcclung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376118034 PECOS PAC ID: 6608212931 Enrollment ID: I20240308003673 |
| Provider Name | Michele Redding-larosa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447521778 PECOS PAC ID: 5991141947 Enrollment ID: I20240312003666 |
| Provider Name | Dara Andrea Bosiljevic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700549144 PECOS PAC ID: 9638515620 Enrollment ID: I20240313000831 |
| Provider Name | Elizabeth A Kowalski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659545689 PECOS PAC ID: 8527404540 Enrollment ID: I20240313001727 |
| Provider Name | Charla Ann Newcomb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376190512 PECOS PAC ID: 4082050935 Enrollment ID: I20240313003280 |
| Provider Name | Emily Hatch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144942087 PECOS PAC ID: 4688010499 Enrollment ID: I20240314001493 |
| Provider Name | Ariana Boggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982109450 PECOS PAC ID: 6901242627 Enrollment ID: I20240315001546 |
| Provider Name | Jamie Lynn Finkelstein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538599063 PECOS PAC ID: 4880031525 Enrollment ID: I20240318002116 |
| Provider Name | Hope Watson Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427722586 PECOS PAC ID: 1658718226 Enrollment ID: I20240319003243 |
| Provider Name | Natalie Marie Didomencio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962557322 PECOS PAC ID: 3476990953 Enrollment ID: I20240319004066 |
| Provider Name | Dana Lynn Gallagher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821459702 PECOS PAC ID: 1951748326 Enrollment ID: I20240320003353 |
| Provider Name | Kathryn Opal Gatchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376198952 PECOS PAC ID: 4587001995 Enrollment ID: I20240321000348 |
| Provider Name | Alyssa Nicole Klein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134719438 PECOS PAC ID: 4082051271 Enrollment ID: I20240323000113 |
| Provider Name | Heather Sue Talbot |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497986830 PECOS PAC ID: 6608213764 Enrollment ID: I20240325002436 |
| Provider Name | Julia Hamlett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356991103 PECOS PAC ID: 8123465143 Enrollment ID: I20240326000935 |
| Provider Name | Matthew Robards Hodge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821498056 PECOS PAC ID: 5092152892 Enrollment ID: I20240327004090 |
| Provider Name | Jessica Lynn Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104010545 PECOS PAC ID: 8527406115 Enrollment ID: I20240402000917 |
| Provider Name | Julie Hanna Smith |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770971707 PECOS PAC ID: 1355751595 Enrollment ID: I20240403000253 |
| Provider Name | Elizabeth Armstrong Groom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326440173 PECOS PAC ID: 3870931249 Enrollment ID: I20240404000032 |
| Provider Name | Heather Mcclure |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255788048 PECOS PAC ID: 5799123923 Enrollment ID: I20240405002317 |
| Provider Name | Elizabeth Kate Draven |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184107997 PECOS PAC ID: 3274971403 Enrollment ID: I20240405002587 |
| Provider Name | Dawn Ann Lesky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417456690 PECOS PAC ID: 2769820653 Enrollment ID: I20240411001013 |
| Provider Name | Paul James Kimmich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154471084 PECOS PAC ID: 0244679058 Enrollment ID: I20240412002101 |
| Provider Name | Rachel Wells Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962988071 PECOS PAC ID: 9931548740 Enrollment ID: I20240412002220 |
| Provider Name | Teya M Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164760112 PECOS PAC ID: 5496194763 Enrollment ID: I20240419000069 |
| Provider Name | Sheryl Stubbs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154792547 PECOS PAC ID: 0446690473 Enrollment ID: I20240424002804 |
| Provider Name | Roxanne Paguio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790568202 PECOS PAC ID: 9133569601 Enrollment ID: I20240501000692 |
| Provider Name | Michelle O'neil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881346021 PECOS PAC ID: 6002256526 Enrollment ID: I20240501002661 |
| Provider Name | Jennifer Nichole Pierce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720562952 PECOS PAC ID: 7517306541 Enrollment ID: I20240502001320 |
| Provider Name | Emily Raykovitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952776742 PECOS PAC ID: 4688015795 Enrollment ID: I20240507002633 |
| Provider Name | Desiree Denise Padilla |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871231175 PECOS PAC ID: 0749621852 Enrollment ID: I20240507002729 |
| Provider Name | Cecilia Mhc Iguchi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982855540 PECOS PAC ID: 3476994583 Enrollment ID: I20240507002740 |
| Provider Name | Tashina Marie Cordova Garrett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942842059 PECOS PAC ID: 7113368242 Enrollment ID: I20240507003186 |
| Provider Name | Linda Juanita Castro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912561143 PECOS PAC ID: 7719328897 Enrollment ID: I20240508000592 |
| Provider Name | Olivia Claire Lawson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588064455 PECOS PAC ID: 3375984362 Enrollment ID: I20240508001285 |
| Provider Name | Terri Ann Grossman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609308915 PECOS PAC ID: 5395186324 Enrollment ID: I20240508002501 |
| Provider Name | Donna Yumin Deverell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194163048 PECOS PAC ID: 8820304348 Enrollment ID: I20240509000903 |
| Provider Name | Courtney Cathleen Stain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063182632 PECOS PAC ID: 1850732751 Enrollment ID: I20240509001610 |
| Provider Name | Sara Sue Abels |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568052066 PECOS PAC ID: 4587005400 Enrollment ID: I20240509002021 |
| Provider Name | Julia Jamison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831815661 PECOS PAC ID: 6800237686 Enrollment ID: I20240510000654 |
| Provider Name | Christine Margaret Elizabeth Lewallen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295398139 PECOS PAC ID: 6800237454 Enrollment ID: I20240514000480 |
| Provider Name | Danielle Lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285164673 PECOS PAC ID: 7810338217 Enrollment ID: I20240516001927 |
| Provider Name | Holly Lyn Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922614882 PECOS PAC ID: 3072954254 Enrollment ID: I20240520000797 |
| Provider Name | Laurie Holland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649814732 PECOS PAC ID: 3476995366 Enrollment ID: I20240523001139 |
| Provider Name | Erin Reid Hart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073835443 PECOS PAC ID: 8426590605 Enrollment ID: I20240603002964 |
| Provider Name | Jessica Kaiulani Rossi Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104394568 PECOS PAC ID: 1254873441 Enrollment ID: I20240603003324 |
| Provider Name | Mayra Granados Aguilar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407387236 PECOS PAC ID: 6709328917 Enrollment ID: I20240603004099 |
| Provider Name | James Stewart Heeter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164861068 PECOS PAC ID: 1759823974 Enrollment ID: I20240604000015 |
| Provider Name | Gena Elena Boney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124293055 PECOS PAC ID: 9537601604 Enrollment ID: I20240604002317 |
| Provider Name | Helen Marie Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376845701 PECOS PAC ID: 6608318605 Enrollment ID: I20240605003369 |
| Provider Name | Kassi Chevalier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437628344 PECOS PAC ID: 0143762179 Enrollment ID: I20240606000110 |
| Provider Name | Sophia Francis Yelenick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194318709 PECOS PAC ID: 8921540436 Enrollment ID: I20240611003437 |
| Provider Name | Christine Lynn Moody |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366815193 PECOS PAC ID: 3476095910 Enrollment ID: I20240611004671 |
| Provider Name | Desirae Justine Martinefski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760907729 PECOS PAC ID: 0042752487 Enrollment ID: I20240612004285 |
| Provider Name | Regina Annette Hoesli Rooney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215451687 PECOS PAC ID: 3072056357 Enrollment ID: I20240614000805 |
| Provider Name | Deanna Rae Mcnairy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417225947 PECOS PAC ID: 5991248817 Enrollment ID: I20240620001998 |
| Provider Name | Audrey Mulhair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790285179 PECOS PAC ID: 3870036601 Enrollment ID: I20240620002574 |
| Provider Name | Amanda Mercedes Daniel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679609259 PECOS PAC ID: 3577006378 Enrollment ID: I20240621000815 |
| Provider Name | Jessica Kahanaoi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053860775 PECOS PAC ID: 1254874969 Enrollment ID: I20240624000236 |
| Provider Name | Amanda Hodge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114248168 PECOS PAC ID: 0648714915 Enrollment ID: I20240627001250 |
| Provider Name | Kyla Suzanne Hines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457111585 PECOS PAC ID: 9830633031 Enrollment ID: I20240628001358 |
| Provider Name | Justice Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801410915 PECOS PAC ID: 9537603162 Enrollment ID: I20240706000322 |
| Provider Name | Laura Finken |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437418449 PECOS PAC ID: 1153865787 Enrollment ID: I20240706000377 |
| Provider Name | Lauren E Reedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649591553 PECOS PAC ID: 4880138411 Enrollment ID: I20240706000388 |
| Provider Name | Tara Garvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083374581 PECOS PAC ID: 7416492038 Enrollment ID: I20240708003219 |
| Provider Name | Michael Anthony Rooney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992079172 PECOS PAC ID: 8527503192 Enrollment ID: I20240709000721 |
| Provider Name | Jared Christopher Sciarrotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649922709 PECOS PAC ID: 4880139252 Enrollment ID: I20240709004879 |
| Provider Name | Robert Ryan Browning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306411871 PECOS PAC ID: 9032654322 Enrollment ID: I20240710005236 |
| Provider Name | Erin Nicole Mudgett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902380603 PECOS PAC ID: 0244775013 Enrollment ID: I20240717000079 |
| Provider Name | Katharine Bratton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255732509 PECOS PAC ID: 2860937653 Enrollment ID: I20240717000607 |
| Provider Name | Mckayla Siobhan Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669213575 PECOS PAC ID: 2567907280 Enrollment ID: I20240717002141 |
| Provider Name | Kassandra Anne Trujillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104403666 PECOS PAC ID: 4587100227 Enrollment ID: I20240718001593 |
| Provider Name | Ori Michael Gutin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194385344 PECOS PAC ID: 1850837501 Enrollment ID: I20240718002005 |
| Provider Name | Douglas Allen Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235327693 PECOS PAC ID: 3678019965 Enrollment ID: I20240723002464 |
| Provider Name | Jennifer Schoedl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740854611 PECOS PAC ID: 5799221941 Enrollment ID: I20240724000030 |
| Provider Name | Jamie Haskell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447584461 PECOS PAC ID: 7113463365 Enrollment ID: I20240724000160 |
| Provider Name | Qiana Torres Flores |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346756699 PECOS PAC ID: 2062958267 Enrollment ID: I20240724002060 |
| Provider Name | Danielle Akiva |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972000719 PECOS PAC ID: 1153868708 Enrollment ID: I20240801000571 |
| Provider Name | Starlene S Peluso |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558492462 PECOS PAC ID: 1254879455 Enrollment ID: I20240820000593 |
| Provider Name | Helen L Tran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932738580 PECOS PAC ID: 7517406424 Enrollment ID: I20240823000017 |
| Provider Name | Ashleigh Sheldon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982183612 PECOS PAC ID: 7315486263 Enrollment ID: I20240823001347 |
| Provider Name | Bailey Kittredge Carlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891032074 PECOS PAC ID: 8325587959 Enrollment ID: I20240828000046 |
| Provider Name | Chelsea Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205528684 PECOS PAC ID: 4385185362 Enrollment ID: I20240918000034 |
| Provider Name | Andrea Joanne Blevins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750710745 PECOS PAC ID: 6002357522 Enrollment ID: I20240924001123 |
| Provider Name | Andrea R Raasch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124268347 PECOS PAC ID: 2961943402 Enrollment ID: I20240924001923 |
| Provider Name | Esther Grace Weiner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134893654 PECOS PAC ID: 4486185410 Enrollment ID: I20241002000265 |
| Provider Name | Kathryn Grace Veraldi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184115941 PECOS PAC ID: 1850822321 Enrollment ID: I20241008002784 |
| Provider Name | Miranda Patterson Bradley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770190662 PECOS PAC ID: 1153852629 Enrollment ID: I20241008003099 |
| Provider Name | Hannah Lee Sikorski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770203515 PECOS PAC ID: 0941731376 Enrollment ID: I20241009001323 |
| Provider Name | Brian D Wolff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720847957 PECOS PAC ID: 5294267688 Enrollment ID: I20241009004431 |
| Provider Name | Heather R Armstrong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073780995 PECOS PAC ID: 8325570203 Enrollment ID: I20241016003581 |
| Provider Name | Rebecca Howe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932741774 PECOS PAC ID: 8921530486 Enrollment ID: I20241022002812 |
| Provider Name | Kimberly Anne Worsham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134840275 PECOS PAC ID: 6406389410 Enrollment ID: I20241030000105 |
| Provider Name | Gabriela Marie Cranfill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790354918 PECOS PAC ID: 0547793572 Enrollment ID: I20241030001123 |
| Provider Name | Haley Elizabeth Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275265472 PECOS PAC ID: 0648704080 Enrollment ID: I20241107003950 |
| Provider Name | Victoria Marie Garrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265279491 PECOS PAC ID: 1052845773 Enrollment ID: I20241117000074 |
| Provider Name | Elizabeth Hays |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881130805 PECOS PAC ID: 1951835602 Enrollment ID: I20241118001191 |
| Provider Name | Abraham Romero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073835534 PECOS PAC ID: 1759816465 Enrollment ID: I20241118004164 |
| Provider Name | Jacquelyn Mcintosh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821604711 PECOS PAC ID: 4082149752 Enrollment ID: I20241119002286 |
| Provider Name | Sara Makai Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114652021 PECOS PAC ID: 8224563820 Enrollment ID: I20241119003792 |
| Provider Name | Morgan Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700385614 PECOS PAC ID: 3870028285 Enrollment ID: I20241121004489 |
| Provider Name | Taylor S Clepper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811183106 PECOS PAC ID: 7517492937 Enrollment ID: I20241122000018 |
| Provider Name | James Allen Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972229623 PECOS PAC ID: 9638604903 Enrollment ID: I20241122002276 |
| Provider Name | Sarah Lorraine Chilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841783867 PECOS PAC ID: 5193250397 Enrollment ID: I20241125003340 |
| Provider Name | Anne Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962648675 PECOS PAC ID: 1052846185 Enrollment ID: I20241126000488 |
| Provider Name | Emma Bacon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699448340 PECOS PAC ID: 0345775375 Enrollment ID: I20241127000638 |
| Provider Name | Arianna N Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962100966 PECOS PAC ID: 7416483896 Enrollment ID: I20241209002551 |
| Provider Name | Brandon Buenavidez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346678091 PECOS PAC ID: 1759817992 Enrollment ID: I20241211000596 |
Quintessence Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3954 Youngfield St, Wheat Ridge, CO 80033 Phone: 720-336-3485 Fax: 720-328-0769 | |
Key Counseling, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3705 Kipling, Optional, Wheat Ridge, CO 80033 Phone: 720-240-6185 | |
A Divergent Lens Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9201 W 44th Ave, Wheat Ridge, CO 80033 Phone: 303-578-9848 | |
Gem Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6279 W 38th Ave Ste 8, Wheat Ridge, CO 80033 Phone: 303-828-8595 | |
Footbridge Counseling & Coaching Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7651 W 41st Ave, #91, Wheat Ridge, CO 80033 Phone: 720-898-0257 Fax: 720-898-0460 | |
Golden Thread Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6490 W 44th Ave, Wheat Ridge, CO 80033 Phone: 720-443-1001 | |
Resilient Mind Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3505 Garrison St, Wheat Ridge, CO 80033 Phone: 720-936-8818 |