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| |
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215 W Oak St Fl 4 Fort Collins CO 80521-2734 | |
| (970) 310-3406 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 215 W Oak St Fl 4, Fort Collins, Colorado |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 2063991493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
215 W Oak St Fl 4 Fort Collins CO 80521-2734 Ph: (970) 310-3406 | 215 W Oak St Fl 4 Fort Collins CO 80521-2734 Ph: (970) 310-3406 |
| NPI Number | 1588038681 |
|---|---|
| Provider Enumeration Date | 11/30/2015 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 8628373651 |
|---|---|
| Medicare Enrollment ID | O20160229001522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588038681 | NPI | - | NPPES |
| Provider Name | Eileen D Lang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396811246 PECOS PAC ID: 0345283339 Enrollment ID: I20050610000113 |
| Provider Name | James K Whitney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265508014 PECOS PAC ID: 6103852884 Enrollment ID: I20050713001142 |
| Provider Name | Sharon A Pendlebury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811953482 PECOS PAC ID: 3870508112 Enrollment ID: I20060208000380 |
| Provider Name | Mark A Scofield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700886306 PECOS PAC ID: 0941210942 Enrollment ID: I20060504000175 |
| Provider Name | Vanessa B Rollins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093811812 PECOS PAC ID: 6800879412 Enrollment ID: I20061109000491 |
| Provider Name | Jeffery H Kupfer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295744142 PECOS PAC ID: 3375544869 Enrollment ID: I20070301000169 |
| Provider Name | Teri Heines |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487819157 PECOS PAC ID: 0840348199 Enrollment ID: I20090427000113 |
| Provider Name | Dana Ashton Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053392449 PECOS PAC ID: 6103974282 Enrollment ID: I20090429000255 |
| Provider Name | Miesha D Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598915316 PECOS PAC ID: 0749326593 Enrollment ID: I20091007000765 |
| Provider Name | Sharon M Inglis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528258217 PECOS PAC ID: 2163557232 Enrollment ID: I20100315000248 |
| Provider Name | Anna E Engkjer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235441486 PECOS PAC ID: 7315061298 Enrollment ID: I20100830000326 |
| Provider Name | Roy S Kiser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518048156 PECOS PAC ID: 5597748822 Enrollment ID: I20130402000352 |
| Provider Name | Susan Elizabeth Mccullough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881836336 PECOS PAC ID: 8527298231 Enrollment ID: I20140225001346 |
| Provider Name | Frances B Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992078232 PECOS PAC ID: 7416170238 Enrollment ID: I20140523001931 |
| Provider Name | Erica L Brann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598898819 PECOS PAC ID: 6406070598 Enrollment ID: I20140611000742 |
| Provider Name | Ann M Bomberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255741237 PECOS PAC ID: 5496970485 Enrollment ID: I20140708000113 |
| Provider Name | Joni R Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568504645 PECOS PAC ID: 1052537248 Enrollment ID: I20140724000594 |
| 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 | Alison A Shapiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437554557 PECOS PAC ID: 2668795568 Enrollment ID: I20141230000346 |
| Provider Name | Jenifer Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194023978 PECOS PAC ID: 2668791104 Enrollment ID: I20150505000108 |
| Provider Name | Mardi L Chambers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124412903 PECOS PAC ID: 8527387844 Enrollment ID: I20150507000704 |
| Provider Name | Katherine Kelto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023493939 PECOS PAC ID: 7618270646 Enrollment ID: I20160125001492 |
| Provider Name | Clarisa Hernandez Koogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316305147 PECOS PAC ID: 5799080016 Enrollment ID: I20160224002841 |
| Provider Name | Dalton Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821173352 PECOS PAC ID: 5991072118 Enrollment ID: I20170518001454 |
| Provider Name | Stephanie Bagwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114368263 PECOS PAC ID: 4486965480 Enrollment ID: I20170630001933 |
| Provider Name | Brynn Jollay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992036479 PECOS PAC ID: 0749416196 Enrollment ID: I20170712002285 |
| Provider Name | Sara A Su-castillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346479417 PECOS PAC ID: 8123201902 Enrollment ID: I20170823001976 |
| Provider Name | Daniela Stich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992220867 PECOS PAC ID: 2668745712 Enrollment ID: I20170912000850 |
| Provider Name | Kelly Holmes Thoene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780842070 PECOS PAC ID: 7315212255 Enrollment ID: I20171003006889 |
| Provider Name | Deborah Ann York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952823403 PECOS PAC ID: 7911264700 Enrollment ID: I20171204001675 |
| Provider Name | Sheri Rockwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902322852 PECOS PAC ID: 5294093894 Enrollment ID: I20180102001908 |
| Provider Name | Stacey Salmonson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649761180 PECOS PAC ID: 2163777566 Enrollment ID: I20180625003601 |
| Provider Name | Chelsea Carpenter Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871088617 PECOS PAC ID: 6406102920 Enrollment ID: I20180712003065 |
| Provider Name | Lauri J Lohse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821101973 PECOS PAC ID: 6507962701 Enrollment ID: I20181114002812 |
| Provider Name | Kendall R Kershner-rice |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144502352 PECOS PAC ID: 8224382924 Enrollment ID: I20181115002225 |
| Provider Name | Traci Leigh Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588814636 PECOS PAC ID: 0042559775 Enrollment ID: I20190225001896 |
| Provider Name | Keri Lee Lemmond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114004561 PECOS PAC ID: 1052376175 Enrollment ID: I20190305002061 |
| Provider Name | Jennifer Cirak Huskinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811466071 PECOS PAC ID: 6507105772 Enrollment ID: I20190306000203 |
| Provider Name | Linsey E. Norton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407243413 PECOS PAC ID: 3678815347 Enrollment ID: I20190429001808 |
| Provider Name | Christal L Lichtenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295391910 PECOS PAC ID: 0941535066 Enrollment ID: I20190711002646 |
| Provider Name | Cassidy Shults |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639483118 PECOS PAC ID: 9032445366 Enrollment ID: I20190724003527 |
| 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 | Ann Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659927309 PECOS PAC ID: 3375873078 Enrollment ID: I20190923003043 |
| Provider Name | Timothy C Woodworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477679082 PECOS PAC ID: 0840520565 Enrollment ID: I20190924000343 |
| Provider Name | Ashley Cahill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992151674 PECOS PAC ID: 0749511152 Enrollment ID: I20191016003175 |
| Provider Name | Alyssa Fieseler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457902835 PECOS PAC ID: 2466784079 Enrollment ID: I20191031002555 |
| Provider Name | Susan Seiler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265722151 PECOS PAC ID: 4385822576 Enrollment ID: I20200331000863 |
| Provider Name | Emily Hope Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770106510 PECOS PAC ID: 2365864386 Enrollment ID: I20200622000762 |
| Provider Name | Samantha Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831647437 PECOS PAC ID: 9032498373 Enrollment ID: I20200625000334 |
| Provider Name | Jackie Heintz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386181790 PECOS PAC ID: 0345664736 Enrollment ID: I20200717001591 |
| Provider Name | Jami Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629635719 PECOS PAC ID: 9638502248 Enrollment ID: I20200818002331 |
| Provider Name | Samantha Wall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306315999 PECOS PAC ID: 5799101952 Enrollment ID: I20200818003179 |
| Provider Name | Anne Knack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639631419 PECOS PAC ID: 5193142909 Enrollment ID: I20200825002010 |
| Provider Name | Ashley M Benally-ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073121943 PECOS PAC ID: 2769809409 Enrollment ID: I20200826003560 |
| Provider Name | Sandra M Gerardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649422312 PECOS PAC ID: 4082033006 Enrollment ID: I20200924001770 |
| Provider Name | Joanna Deane Lippert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841524287 PECOS PAC ID: 1355761347 Enrollment ID: I20201013001196 |
| Provider Name | Asha Laine Wells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245540319 PECOS PAC ID: 6800216714 Enrollment ID: I20201014003708 |
| Provider Name | Alexander Otis Kisor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205435336 PECOS PAC ID: 4486064326 Enrollment ID: I20201105000370 |
| Provider Name | Ashley Nichole Wiggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144822859 PECOS PAC ID: 0941611982 Enrollment ID: I20201124001825 |
| Provider Name | Jose Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649278318 PECOS PAC ID: 6709821945 Enrollment ID: I20201208000227 |
| Provider Name | Jordyn Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063975837 PECOS PAC ID: 9133532419 Enrollment ID: I20210105002051 |
| Provider Name | Jessica Patricia Courtney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144821042 PECOS PAC ID: 2365855525 Enrollment ID: I20210106002854 |
| Provider Name | Shelby Keyworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780274753 PECOS PAC ID: 5193139129 Enrollment ID: I20210202002037 |
| Provider Name | Leslie Kille |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972755692 PECOS PAC ID: 7315353943 Enrollment ID: I20210305002115 |
| Provider Name | Tiffany Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760009617 PECOS PAC ID: 1759790819 Enrollment ID: I20210503001220 |
| Provider Name | Kristen A Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023631868 PECOS PAC ID: 0143639211 Enrollment ID: I20210503001533 |
| Provider Name | Wojciech L Seweryn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811206170 PECOS PAC ID: 1153730155 Enrollment ID: I20210504000469 |
| Provider Name | Sabrah Jean Collar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952989204 PECOS PAC ID: 9830599273 Enrollment ID: I20210607002254 |
| Provider Name | Amanda Kay Padgett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689225054 PECOS PAC ID: 0446654339 Enrollment ID: I20210816000805 |
| Provider Name | James Wilkerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730493560 PECOS PAC ID: 5890191563 Enrollment ID: I20210903000309 |
| Provider Name | Melodie Sue Nicholas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699901728 PECOS PAC ID: 7214333509 Enrollment ID: I20210913001163 |
| Provider Name | Jill Kathleen Boatwright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952940439 PECOS PAC ID: 1254737380 Enrollment ID: I20210915000118 |
| Provider Name | Lisa Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932788213 PECOS PAC ID: 9638576739 Enrollment ID: I20210915003403 |
| Provider Name | Kimberly Diane Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528639630 PECOS PAC ID: 2860890720 Enrollment ID: I20211006002174 |
| Provider Name | Rebecca Ann Rottinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518361153 PECOS PAC ID: 5294123832 Enrollment ID: I20211101000948 |
| Provider Name | Hannah Lee Poore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396218194 PECOS PAC ID: 3971992959 Enrollment ID: I20211112000764 |
| Provider Name | Terri Lynn Rommel-ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881363844 PECOS PAC ID: 1850780651 Enrollment ID: I20211117000936 |
| Provider Name | Kristine Froehlich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023770823 PECOS PAC ID: 3971992694 Enrollment ID: I20211117002328 |
| Provider Name | Michael Wyskiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295401214 PECOS PAC ID: 7012308927 Enrollment ID: I20220104002150 |
| Provider Name | Lori Neiswanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861017006 PECOS PAC ID: 5799177341 Enrollment ID: I20220112000641 |
| Provider Name | Kayla Day Krug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669863387 PECOS PAC ID: 3577955079 Enrollment ID: I20220113000099 |
| Provider Name | Janine Froehlich Al-khudhairy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548805013 PECOS PAC ID: 4284069204 Enrollment ID: I20220118000024 |
| Provider Name | Autumn Kiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487743399 PECOS PAC ID: 2860870912 Enrollment ID: I20220602001171 |
| Provider Name | Christa Marie Aslanian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649923947 PECOS PAC ID: 5890174205 Enrollment ID: I20220615000993 |
| Provider Name | Suzanne Roscoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447849526 PECOS PAC ID: 9537542154 Enrollment ID: I20220815002920 |
| Provider Name | Brittany Roper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447995931 PECOS PAC ID: 7315320835 Enrollment ID: I20220816003700 |
| Provider Name | Amber Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598496234 PECOS PAC ID: 7517340573 Enrollment ID: I20220824001398 |
| Provider Name | Kathleen Marie Largent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831831932 PECOS PAC ID: 1759765498 Enrollment ID: I20220830003233 |
| Provider Name | Colton Braucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568090553 PECOS PAC ID: 2769806454 Enrollment ID: I20220831000889 |
| Provider Name | Austin Thomas Kopas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912590084 PECOS PAC ID: 6709282866 Enrollment ID: I20220908002324 |
| Provider Name | Briana Payne Laurie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356934756 PECOS PAC ID: 0244615375 Enrollment ID: I20220909002554 |
| Provider Name | Stephanie Louise Coates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629727771 PECOS PAC ID: 1658747704 Enrollment ID: I20221014002052 |
| Provider Name | Katie Croft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679095418 PECOS PAC ID: 4789051582 Enrollment ID: I20221108002131 |
| Provider Name | Cammie Ann Sangeet Kleinz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891360558 PECOS PAC ID: 5092183475 Enrollment ID: I20221115003109 |
| Provider Name | Amanda May Upthegrove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548835291 PECOS PAC ID: 0345618351 Enrollment ID: I20221123001092 |
| Provider Name | Amanda Joan Edmiston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548906720 PECOS PAC ID: 5698146850 Enrollment ID: I20230126000042 |
| Provider Name | Barbara Howes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790063394 PECOS PAC ID: 8820227010 Enrollment ID: I20230202003354 |
| Provider Name | Natasha Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396122644 PECOS PAC ID: 1456723709 Enrollment ID: I20230214001820 |
| Provider Name | Katelyn Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588289904 PECOS PAC ID: 2365815024 Enrollment ID: I20230227003056 |
| Provider Name | Dailyn Somoza Menendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831730688 PECOS PAC ID: 3577937788 Enrollment ID: I20230329001565 |
| Provider Name | Aimee Mclaurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598464604 PECOS PAC ID: 7810362068 Enrollment ID: I20230331001655 |
| Provider Name | Hannah Hinchsliff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801594486 PECOS PAC ID: 5698140663 Enrollment ID: I20230404001930 |
| 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 | Alexander Tucker Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497429740 PECOS PAC ID: 6709241946 Enrollment ID: I20230424000826 |
| Provider Name | Jillian Olney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972207843 PECOS PAC ID: 6608231873 Enrollment ID: I20230424001872 |
| Provider Name | Stephanie Flora Marsella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023719028 PECOS PAC ID: 1052776549 Enrollment ID: I20230505002190 |
| Provider Name | Annaken S. Toews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205531019 PECOS PAC ID: 6709243009 Enrollment ID: I20230601000099 |
| Provider Name | Jennifer Kim Pries |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336831692 PECOS PAC ID: 5991162588 Enrollment ID: I20230613003312 |
| Provider Name | Connor Katherine Otto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851007900 PECOS PAC ID: 6305204967 Enrollment ID: I20230614002385 |
| Provider Name | Ghea Mae Tiping Degillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790384451 PECOS PAC ID: 6406216746 Enrollment ID: I20230718001599 |
| Provider Name | Jacquelyn Batterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609381425 PECOS PAC ID: 7416215413 Enrollment ID: I20230731001014 |
| Provider Name | Hannah Bailey Glasrud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811506926 PECOS PAC ID: 4981067063 Enrollment ID: I20230823002027 |
| Provider Name | Lauren Manzella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952080830 PECOS PAC ID: 2264895341 Enrollment ID: I20230823002405 |
| Provider Name | Nicole Csw Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902402712 PECOS PAC ID: 5799148417 Enrollment ID: I20230829002309 |
| Provider Name | Sherra Stclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639729056 PECOS PAC ID: 8729416599 Enrollment ID: I20230925002851 |
| Provider Name | Allison C Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154003432 PECOS PAC ID: 2769838135 Enrollment ID: I20231023000779 |
| Provider Name | Gregory A. Prince |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538218144 PECOS PAC ID: 0547618928 Enrollment ID: I20231122003062 |
| Provider Name | Nathan G Oden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316605744 PECOS PAC ID: 1254780349 Enrollment ID: I20231214002692 |
| Provider Name | Katherine D Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588751465 PECOS PAC ID: 4183074057 Enrollment ID: I20231219002864 |
| Provider Name | Chastidy Mariah Chacon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508581612 PECOS PAC ID: 7214387885 Enrollment ID: I20231221003332 |
| Provider Name | Mara Talin Minasian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033724976 PECOS PAC ID: 4183044381 Enrollment ID: I20231222000261 |
| Provider Name | Daniela Rosenberg Paiz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194263251 PECOS PAC ID: 9931559382 Enrollment ID: I20231227001185 |
| Provider Name | Marcia Michelle Vincent |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740769918 PECOS PAC ID: 2365892320 Enrollment ID: I20240103002075 |
| Provider Name | Jay F Derosa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396524245 PECOS PAC ID: 9335590371 Enrollment ID: I20240104000297 |
| Provider Name | Michele Marostica |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942865639 PECOS PAC ID: 3577914340 Enrollment ID: I20240105000730 |
| Provider Name | Marcy Lee Libeer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184804460 PECOS PAC ID: 3678924354 Enrollment ID: I20240106000572 |
| Provider Name | Julie Ann Darter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417512633 PECOS PAC ID: 5890146138 Enrollment ID: I20240110004607 |
| Provider Name | Patricia Treft |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124699673 PECOS PAC ID: 5496123499 Enrollment ID: I20240118004642 |
| Provider Name | Marlee J Cavallero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831707025 PECOS PAC ID: 1052763489 Enrollment ID: I20240122000717 |
| Provider Name | Lily Amelia Mathison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689270886 PECOS PAC ID: 1951790484 Enrollment ID: I20240130000741 |
| Provider Name | Rena Diem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730470055 PECOS PAC ID: 2769835339 Enrollment ID: I20240131000062 |
| Provider Name | Patrica Anne Zeyher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760038723 PECOS PAC ID: 8820431604 Enrollment ID: I20240208002173 |
| Provider Name | Emily Travis Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275292112 PECOS PAC ID: 8123461746 Enrollment ID: I20240209002789 |
| Provider Name | Pamela Herrick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306398144 PECOS PAC ID: 7113361122 Enrollment ID: I20240219000490 |
| Provider Name | Allyson Marie Burns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851993331 PECOS PAC ID: 5092159863 Enrollment ID: I20240220003009 |
| Provider Name | Steve Swan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427512383 PECOS PAC ID: 6103261664 Enrollment ID: I20240223004190 |
| Provider Name | Laurel Nard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578054458 PECOS PAC ID: 9436594785 Enrollment ID: I20240227002219 |
| Provider Name | Martin Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639743982 PECOS PAC ID: 4082059191 Enrollment ID: I20240228003786 |
| Provider Name | Sarah Van Norden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336719541 PECOS PAC ID: 1658716410 Enrollment ID: I20240301003823 |
| Provider Name | Brittany Ann White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902463805 PECOS PAC ID: 2163867888 Enrollment ID: I20240304001449 |
| Provider Name | Sahara Omar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942884994 PECOS PAC ID: 0941645683 Enrollment ID: I20240304002371 |
| Provider Name | Kristin Gayden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306121272 PECOS PAC ID: 3274978945 Enrollment ID: I20240304003387 |
| Provider Name | Jami B Hedrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134580566 PECOS PAC ID: 5294170874 Enrollment ID: I20240305003605 |
| Provider Name | Lana Nye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780167825 PECOS PAC ID: 6507221785 Enrollment ID: I20240308001810 |
| Provider Name | Jessie Stempel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679023238 PECOS PAC ID: 4880030006 Enrollment ID: I20240311002526 |
| Provider Name | Ashlei M Kretz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700107919 PECOS PAC ID: 2961848957 Enrollment ID: I20240313001005 |
| Provider Name | Joy Ann Weigel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639767684 PECOS PAC ID: 6507202421 Enrollment ID: I20240313002215 |
| Provider Name | Jacquelyn Girdlestone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093110835 PECOS PAC ID: 6305282005 Enrollment ID: I20240315000957 |
| Provider Name | Adam Edward Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861049900 PECOS PAC ID: 5092152678 Enrollment ID: I20240319000250 |
| Provider Name | Emily Charise Lingle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417595232 PECOS PAC ID: 1456798636 Enrollment ID: I20240322003914 |
| Provider Name | Julia Hamlett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356991103 PECOS PAC ID: 8123465143 Enrollment ID: I20240326000935 |
| Provider Name | Landan Hydrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811675903 PECOS PAC ID: 7214375088 Enrollment ID: I20240329002371 |
| Provider Name | Nicholas Sahagian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588222566 PECOS PAC ID: 1355718313 Enrollment ID: I20240402003484 |
| Provider Name | Joseph A Grossman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316343809 PECOS PAC ID: 0446698955 Enrollment ID: I20240403001664 |
| Provider Name | Bianca Box |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780341487 PECOS PAC ID: 6406294628 Enrollment ID: I20240409000147 |
| Provider Name | Julie A Atabe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639211303 PECOS PAC ID: 1456799568 Enrollment ID: I20240409003393 |
| Provider Name | Kathryn Labrador |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669124525 PECOS PAC ID: 3173962032 Enrollment ID: I20240411004718 |
| Provider Name | Hannah Elizabeth Franklin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457832362 PECOS PAC ID: 7315386851 Enrollment ID: I20240417002248 |
| Provider Name | Jay Ryser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801330139 PECOS PAC ID: 9436598703 Enrollment ID: I20240418004268 |
| Provider Name | Adriana Ramirez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457788150 PECOS PAC ID: 2264871409 Enrollment ID: I20240419002381 |
| Provider Name | Charis Olivia Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730648684 PECOS PAC ID: 9234579491 Enrollment ID: I20240504000431 |
| Provider Name | Phyllis Sara Schechtman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972136687 PECOS PAC ID: 2466892542 Enrollment ID: I20240507000839 |
| Provider Name | Stephanie Jennifer Eells |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720310865 PECOS PAC ID: 8628419629 Enrollment ID: I20240508001374 |
| Provider Name | Teresa M Nelsen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396841359 PECOS PAC ID: 1052752029 Enrollment ID: I20240508004131 |
| Provider Name | Craig Lyle Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841920774 PECOS PAC ID: 1254772031 Enrollment ID: I20240510000692 |
| Provider Name | Chetney Nelsen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659314094 PECOS PAC ID: 3779924055 Enrollment ID: I20240517000838 |
| Provider Name | Callie Gummow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134719305 PECOS PAC ID: 1759723869 Enrollment ID: I20240521002660 |
| Provider Name | Lindsey N Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770031551 PECOS PAC ID: 6103268701 Enrollment ID: I20240529000370 |
| Provider Name | Caroline Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154994119 PECOS PAC ID: 4082156088 Enrollment ID: I20240605003272 |
| Provider Name | Monica Isabel Romero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003460387 PECOS PAC ID: 9436506508 Enrollment ID: I20240610002758 |
| Provider Name | Sara Diane Cooley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760963656 PECOS PAC ID: 7911351465 Enrollment ID: I20240611003635 |
| Provider Name | Sally Denise Farris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588250070 PECOS PAC ID: 3779025226 Enrollment ID: I20240612000560 |
| Provider Name | Matthew Cooney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548853849 PECOS PAC ID: 5193267508 Enrollment ID: I20240612003135 |
| Provider Name | Trinity Nyx |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811539430 PECOS PAC ID: 3173066438 Enrollment ID: I20240614004019 |
| Provider Name | Leslie Ann Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740858273 PECOS PAC ID: 3779026208 Enrollment ID: I20240625001213 |
| Provider Name | Charles William Haverty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578022612 PECOS PAC ID: 2769719590 Enrollment ID: I20240701003767 |
| Provider Name | Hannah Keenan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457026718 PECOS PAC ID: 1153865738 Enrollment ID: I20240708001133 |
| Provider Name | Spenser Kash |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588398291 PECOS PAC ID: 1153866421 Enrollment ID: I20240710004339 |
| Provider Name | Alexandra Grace Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114679560 PECOS PAC ID: 4385189315 Enrollment ID: I20240713000536 |
| Provider Name | Kimberly Meeker Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063174134 PECOS PAC ID: 9133665516 Enrollment ID: I20240722002220 |
| Provider Name | Joni D Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942569140 PECOS PAC ID: 5799221743 Enrollment ID: I20240725003528 |
| Provider Name | Virginia S. Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326253808 PECOS PAC ID: 9739266529 Enrollment ID: I20240729004090 |
| Provider Name | Carrissa Anne Bellehumeur |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861991291 PECOS PAC ID: 5991242588 Enrollment ID: I20240731003245 |
| Provider Name | Taylor Ann Roberson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619593076 PECOS PAC ID: 3870030323 Enrollment ID: I20240801004658 |
| Provider Name | Shameka Dayshan Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326786765 PECOS PAC ID: 7315328028 Enrollment ID: I20240802001391 |
| Provider Name | Vanessa Gene Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093920688 PECOS PAC ID: 6305383787 Enrollment ID: I20240802001652 |
| Provider Name | Denise A Rogers Piel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255520367 PECOS PAC ID: 6507303831 Enrollment ID: I20240805003111 |
| Provider Name | Monique R Hopkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205235975 PECOS PAC ID: 2365989506 Enrollment ID: I20240805003860 |
| Provider Name | Ginger Lea Kipp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285700039 PECOS PAC ID: 7416494653 Enrollment ID: I20240805004009 |
| Provider Name | Turqoyz Rogahn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326508755 PECOS PAC ID: 9739626995 Enrollment ID: I20240806000385 |
| Provider Name | Joy Ryan Fangman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770049942 PECOS PAC ID: 0143767293 Enrollment ID: I20240807000168 |
| Provider Name | Janson Shehorn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720735368 PECOS PAC ID: 1850838707 Enrollment ID: I20240808004067 |
| Provider Name | Melissa Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588320865 PECOS PAC ID: 4284172198 Enrollment ID: I20240809002057 |
| Provider Name | Jessica Tsourmas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730236696 PECOS PAC ID: 4880869940 Enrollment ID: I20240809002120 |
| Provider Name | Allison Shew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366871097 PECOS PAC ID: 5193263051 Enrollment ID: I20240812000130 |
| Provider Name | Ayla Sjoberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598297913 PECOS PAC ID: 7719425677 Enrollment ID: I20240812000161 |
| Provider Name | Kathryn Hughey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548640600 PECOS PAC ID: 0446798300 Enrollment ID: I20240812000167 |
| Provider Name | Christina M Louf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528796216 PECOS PAC ID: 9335687292 Enrollment ID: I20240812000238 |
| Provider Name | Anna Maria Constancia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942676846 PECOS PAC ID: 8123566098 Enrollment ID: I20240812000407 |
| Provider Name | Emily Newberger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396345831 PECOS PAC ID: 4284172081 Enrollment ID: I20240812001685 |
| Provider Name | Dylan Rae Paulson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548709108 PECOS PAC ID: 9133667934 Enrollment ID: I20240812001847 |
| Provider Name | Launa Carolyn Laporta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376985051 PECOS PAC ID: 3779021589 Enrollment ID: I20240812002242 |
| Provider Name | Kathleen Marie King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841880531 PECOS PAC ID: 1355889171 Enrollment ID: I20240812002525 |
| Provider Name | Kayla Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437623204 PECOS PAC ID: 6305384132 Enrollment ID: I20240812002741 |
| Provider Name | Luke Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457456378 PECOS PAC ID: 5395283147 Enrollment ID: I20240812003762 |
| Provider Name | Lauren Hutton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104249481 PECOS PAC ID: 3971041641 Enrollment ID: I20240813000642 |
| Provider Name | Vaunda R Pearson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366534927 PECOS PAC ID: 4981142668 Enrollment ID: I20240813000966 |
| Provider Name | Cathleen Charlow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760910756 PECOS PAC ID: 3274071964 Enrollment ID: I20240813001272 |
| Provider Name | Chelsea Briana Delzangle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326327982 PECOS PAC ID: 5193263721 Enrollment ID: I20240814002887 |
| Provider Name | Erica Brittany Peteja |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316602345 PECOS PAC ID: 3173061637 Enrollment ID: I20240814004349 |
| Provider Name | Jacqueline R Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386137016 PECOS PAC ID: 5698213155 Enrollment ID: I20240814004464 |
| Provider Name | Marci Bieker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700071610 PECOS PAC ID: 2365980836 Enrollment ID: I20240814004755 |
| Provider Name | Mariah Dermody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801504584 PECOS PAC ID: 0143691725 Enrollment ID: I20240814004861 |
| Provider Name | Brandon Baker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528450665 PECOS PAC ID: 8729313564 Enrollment ID: I20240815001950 |
| Provider Name | Raven Alexis Roth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114529294 PECOS PAC ID: 3072051432 Enrollment ID: I20240815003637 |
| Provider Name | Krystal Jane Mcnutt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255948089 PECOS PAC ID: 5890233290 Enrollment ID: I20240816000938 |
| Provider Name | Emily Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912645342 PECOS PAC ID: 5092253120 Enrollment ID: I20240820001813 |
| Provider Name | Brandy Bring |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538623483 PECOS PAC ID: 3072051119 Enrollment ID: I20240820002328 |
| Provider Name | Shawn Michael Brewer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326628637 PECOS PAC ID: 0244778389 Enrollment ID: I20240820002366 |
| Provider Name | Leslie Diane Mormile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467619296 PECOS PAC ID: 5496817454 Enrollment ID: I20240820004545 |
| Provider Name | Katie Fosselius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811587298 PECOS PAC ID: 3577001676 Enrollment ID: I20240821000303 |
| Provider Name | Emily Neilsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730739863 PECOS PAC ID: 4183162183 Enrollment ID: I20240821000787 |
| Provider Name | Sheryl Lynn Schwartz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225387715 PECOS PAC ID: 9133667140 Enrollment ID: I20240821001038 |
| Provider Name | Mattison R Graber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326816091 PECOS PAC ID: 5698213635 Enrollment ID: I20240821002283 |
| Provider Name | Priscilla Christine Pfeifer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366290397 PECOS PAC ID: 9537607502 Enrollment ID: I20240821003542 |
| Provider Name | Karen Lynn Steinbeck-fuerst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922457472 PECOS PAC ID: 3072051044 Enrollment ID: I20240821003650 |
| Provider Name | Vanda Yoshiko Vanbibber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205617529 PECOS PAC ID: 1052850088 Enrollment ID: I20240822001176 |
| Provider Name | Elizabeth Ruth Litfin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205494036 PECOS PAC ID: 0941749915 Enrollment ID: I20240822002618 |
| Provider Name | Elizabeth Anne Klearry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770208068 PECOS PAC ID: 2466991369 Enrollment ID: I20240822004347 |
| Provider Name | Melissa Teasdale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174236640 PECOS PAC ID: 6002355914 Enrollment ID: I20240822004778 |
| Provider Name | Brenda Marquardt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902565591 PECOS PAC ID: 8628517539 Enrollment ID: I20240822004829 |
| Provider Name | Stephanie Deloris Skanes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679161293 PECOS PAC ID: 7517372006 Enrollment ID: I20240823002719 |
| Provider Name | Melanie Lynn Sweet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255862793 PECOS PAC ID: 7315486032 Enrollment ID: I20240827000022 |
| Provider Name | Priscilla Anne Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740046937 PECOS PAC ID: 3779022348 Enrollment ID: I20240827002641 |
| Provider Name | Desiree N Nunez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366117061 PECOS PAC ID: 6507305133 Enrollment ID: I20240828000079 |
| Provider Name | Phillip R Ludwig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033393491 PECOS PAC ID: 8921547555 Enrollment ID: I20240828000187 |
| Provider Name | Sarahbeth Pierce Holman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043806607 PECOS PAC ID: 3476092958 Enrollment ID: I20240828002374 |
| Provider Name | Huntsing Ooi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265161418 PECOS PAC ID: 5294274635 Enrollment ID: I20240828005341 |
| Provider Name | Tierrah J Chism |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518534585 PECOS PAC ID: 7214476407 Enrollment ID: I20240903000294 |
| Provider Name | Chelsea Norris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487160529 PECOS PAC ID: 9830638980 Enrollment ID: I20240903003014 |
| Provider Name | Christopher Michael Dickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295510139 PECOS PAC ID: 7214476381 Enrollment ID: I20240903003654 |
| Provider Name | John Robert Cayer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548676968 PECOS PAC ID: 0941740906 Enrollment ID: I20240905002837 |
| Provider Name | Nicole Christine Eckles |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427779677 PECOS PAC ID: 5496295313 Enrollment ID: I20240906000497 |
| Provider Name | Amanda Elizabeth Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689120701 PECOS PAC ID: 9234679184 Enrollment ID: I20240906001739 |
| Provider Name | Chelsea Ann Henderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346729829 PECOS PAC ID: 8325588155 Enrollment ID: I20240909000248 |
| Provider Name | Madison Farrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023592417 PECOS PAC ID: 1658811401 Enrollment ID: I20240909001148 |
| Provider Name | Leyah Fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215607452 PECOS PAC ID: 3375083124 Enrollment ID: I20240909001203 |
| Provider Name | Jason Daniel Howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447355599 PECOS PAC ID: 7012457765 Enrollment ID: I20240909001545 |
| Provider Name | Maria Esswein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275018723 PECOS PAC ID: 1557801222 Enrollment ID: I20240909002143 |
| Provider Name | Andrea Post |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396383469 PECOS PAC ID: 0749720456 Enrollment ID: I20240909003897 |
| Provider Name | Andrew James Meil |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114308772 PECOS PAC ID: 2163962879 Enrollment ID: I20240909004060 |
| Provider Name | Aubree Franchesca Kocher |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447741707 PECOS PAC ID: 5395285019 Enrollment ID: I20240909004284 |
| Provider Name | Bryan Matson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376282848 PECOS PAC ID: 7416497144 Enrollment ID: I20240909004634 |
| Provider Name | Aryanna Elizabeth Klemme |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245986892 PECOS PAC ID: 5092255729 Enrollment ID: I20240910000149 |
| Provider Name | Mandi Merica |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780086009 PECOS PAC ID: 1951841691 Enrollment ID: I20240910000327 |
| Provider Name | Genevieve Vivian Morris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811320732 PECOS PAC ID: 8426598061 Enrollment ID: I20240910000615 |
| Provider Name | Valerie Ann Jordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326103565 PECOS PAC ID: 3678013232 Enrollment ID: I20240910001564 |
| Provider Name | Cheyenne Marie Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932565363 PECOS PAC ID: 7911447586 Enrollment ID: I20240910001683 |
| Provider Name | Michael Hotz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437528296 PECOS PAC ID: 7618417288 Enrollment ID: I20240910001792 |
| Provider Name | Ryan Patrick Mcmahan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851680433 PECOS PAC ID: 6709326382 Enrollment ID: I20240910002252 |
| Provider Name | Anthony Severtson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497365431 PECOS PAC ID: 4880134402 Enrollment ID: I20240910003637 |
| Provider Name | Brody Anna Shelstad |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790266492 PECOS PAC ID: 5092255620 Enrollment ID: I20240910004233 |
| Provider Name | Dana L Krumholz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619211158 PECOS PAC ID: 6608316146 Enrollment ID: I20240910004816 |
| Provider Name | Shannon Schafhausen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922330091 PECOS PAC ID: 7315487808 Enrollment ID: I20240911001365 |
| Provider Name | Steven W. Scifres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932788569 PECOS PAC ID: 6406396993 Enrollment ID: I20240911001409 |
| Provider Name | Meegan S Urbanek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598062192 PECOS PAC ID: 7911447354 Enrollment ID: I20240911003653 |
| Provider Name | Savannah Rackley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316685910 PECOS PAC ID: 2264972637 Enrollment ID: I20240912000068 |
| Provider Name | Danielle Rebecca Jewell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083319354 PECOS PAC ID: 9436699816 Enrollment ID: I20240912000494 |
| Provider Name | Brianna Jo Seaman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407341779 PECOS PAC ID: 6406396894 Enrollment ID: I20240912000676 |
| Provider Name | Courtney E Knight |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629809710 PECOS PAC ID: 7012457336 Enrollment ID: I20240912002407 |
| Provider Name | Elaina Cai Hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841891819 PECOS PAC ID: 2062952336 Enrollment ID: I20240912004336 |
| Provider Name | Kaylen Mychal Compton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598351025 PECOS PAC ID: 0648710855 Enrollment ID: I20240913001631 |
| Provider Name | Nancy Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770161978 PECOS PAC ID: 9739552746 Enrollment ID: I20240916000328 |
| Provider Name | William Barton Giddings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831608652 PECOS PAC ID: 5597206714 Enrollment ID: I20240916001229 |
| Provider Name | Dustin Jose Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083262844 PECOS PAC ID: 2365858982 Enrollment ID: I20240917002696 |
| Provider Name | Victoria Anissa Mendoza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184050817 PECOS PAC ID: 0042751109 Enrollment ID: I20240917003313 |
| Provider Name | Patricia G Ferguson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447766647 PECOS PAC ID: 8820539893 Enrollment ID: I20240917004491 |
| Provider Name | Courtney Fisher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568171742 PECOS PAC ID: 2961943949 Enrollment ID: I20240917004859 |
| Provider Name | Julie Blumenfeld |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750044814 PECOS PAC ID: 8426599473 Enrollment ID: I20240918002203 |
| Provider Name | Sarah Powazki Kuhn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053145912 PECOS PAC ID: 9830630888 Enrollment ID: I20240918002424 |
| Provider Name | Carla Lorene Hoskins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306979919 PECOS PAC ID: 4486195385 Enrollment ID: I20240918004531 |
| Provider Name | Elizabeth Tremblay Zuk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992315782 PECOS PAC ID: 1254872187 Enrollment ID: I20240919000959 |
| Provider Name | Amy Pacheco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730429515 PECOS PAC ID: 9133660087 Enrollment ID: I20240919001497 |
| Provider Name | Margaret Mae Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821601378 PECOS PAC ID: 1951842764 Enrollment ID: I20240919004244 |
| Provider Name | Samantha Mcnulty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972095057 PECOS PAC ID: 5294276945 Enrollment ID: I20240920002246 |
| Provider Name | Deanna Carol Killgore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447719075 PECOS PAC ID: 2466993142 Enrollment ID: I20240920003179 |
| Provider Name | Michelle Lorraine Ellis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700125663 PECOS PAC ID: 7416190095 Enrollment ID: I20240920003650 |
| Provider Name | Katherine Trenda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508565870 PECOS PAC ID: 5496296196 Enrollment ID: I20240921000372 |
| Provider Name | Jeffrey Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255780623 PECOS PAC ID: 8426599143 Enrollment ID: I20240923000346 |
| Provider Name | Barbra Rachelle Montoya |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700918901 PECOS PAC ID: 1951842558 Enrollment ID: I20240923003928 |
| Provider Name | Deborah S Edsall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841544111 PECOS PAC ID: 8921549536 Enrollment ID: I20240924000180 |
| Provider Name | Lesley Caldwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326489840 PECOS PAC ID: 9638610058 Enrollment ID: I20240925000427 |
| Provider Name | Leah Dents |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902638414 PECOS PAC ID: 1658812052 Enrollment ID: I20240925004007 |
| Provider Name | Tamarah Rodriguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790037174 PECOS PAC ID: 6002357332 Enrollment ID: I20240926000494 |
| Provider Name | Sharlene Kathryn Kraemer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487672069 PECOS PAC ID: 6103357496 Enrollment ID: I20240926003315 |
| Provider Name | Sarah Hall Booth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457917346 PECOS PAC ID: 8426589755 Enrollment ID: I20240927000210 |
| Provider Name | Pedar William Herom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730442781 PECOS PAC ID: 5799216024 Enrollment ID: I20240927000229 |
| Provider Name | Dylan Beach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215578612 PECOS PAC ID: 6507397791 Enrollment ID: I20240927003239 |
| Provider Name | Lauryn Curtis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528411980 PECOS PAC ID: 7416488614 Enrollment ID: I20240928000461 |
| Provider Name | Vicki Ruscitti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508276700 PECOS PAC ID: 6103357322 Enrollment ID: I20240930000349 |
| Provider Name | Joel Edward Coram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891259693 PECOS PAC ID: 9032640131 Enrollment ID: I20240930004024 |
| Provider Name | Jordan Ashley Parmenter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053807818 PECOS PAC ID: 5991236044 Enrollment ID: I20241001001664 |
| Provider Name | Elizabeth Poulin Rodriguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003431982 PECOS PAC ID: 0042741050 Enrollment ID: I20241001004508 |
| Provider Name | Stephanie Robyn Saxe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003426925 PECOS PAC ID: 5092246033 Enrollment ID: I20241002000789 |
| Provider Name | Alexandra H Cowden Hindash |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184273955 PECOS PAC ID: 1557750957 Enrollment ID: I20241002001092 |
| Provider Name | Brittany Popelka |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235887753 PECOS PAC ID: 5597296475 Enrollment ID: I20241002002766 |
| Provider Name | Brian Collison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235852666 PECOS PAC ID: 5496286312 Enrollment ID: I20241002004157 |
| Provider Name | Andrew Michael Fowler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851905830 PECOS PAC ID: 8628509338 Enrollment ID: I20241007000075 |
| Provider Name | Dayna L Mosley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902375421 PECOS PAC ID: 7315478740 Enrollment ID: I20241009001252 |
| Provider Name | Alyssa Marie Strazzulla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174376917 PECOS PAC ID: 8426580846 Enrollment ID: I20241010000750 |
| Provider Name | Lourdes Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952893752 PECOS PAC ID: 4789128638 Enrollment ID: I20241011003339 |
| Provider Name | Cynthia Ilene Chavez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073949822 PECOS PAC ID: 1557893278 Enrollment ID: I20241018000527 |
| Provider Name | Camille Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891522033 PECOS PAC ID: 5294267936 Enrollment ID: I20241018001468 |
| Provider Name | Mychalbrianne Alexa Chatigny |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679074884 PECOS PAC ID: 5395277065 Enrollment ID: I20241018002320 |
| Provider Name | Jennifer Townsend |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013697762 PECOS PAC ID: 5193257715 Enrollment ID: I20241021000908 |
| Provider Name | Tracy Lynn Munson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124732342 PECOS PAC ID: 0042743338 Enrollment ID: I20241024003313 |
| Provider Name | Sarah Nichole Felter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316474299 PECOS PAC ID: 5991238115 Enrollment ID: I20241028000189 |
| Provider Name | Sarah Elizabeth Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598521098 PECOS PAC ID: 5799218616 Enrollment ID: I20241031000588 |
| Provider Name | Anna Elin Schaller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760170880 PECOS PAC ID: 0042745648 Enrollment ID: I20241119003813 |
| Provider Name | Meixuan An Leff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023415965 PECOS PAC ID: 5799210340 Enrollment ID: I20241120000922 |
| Provider Name | Robin Ronald Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053372391 PECOS PAC ID: 1153302849 Enrollment ID: I20241205000877 |
| Provider Name | Riann Elizabeth Pena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447864285 PECOS PAC ID: 4486180965 Enrollment ID: I20241206002312 |
| Provider Name | Lena Patterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972094043 PECOS PAC ID: 9032645494 Enrollment ID: I20241209001908 |
| Provider Name | Jessica Nicole Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962092098 PECOS PAC ID: 6709312937 Enrollment ID: I20241211000038 |
Wallace Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4115 Boardwalk Dr, Suite 200, Fort Collins, CO 80525 Phone: 970-817-4049 Fax: 877-833-4460 | |
Connect Therapies Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 S College Ave, Fort Collins, CO 80524 Phone: 907-663-1065 | |
Strong Hope Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 Mcclelland Dr Ste 2400, Fort Collins, CO 80525 Phone: 541-380-1622 | |
Summitstone Health Partners Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 Pennock Pl Ste 107, Fort Collins, CO 80524 Phone: 970-494-4200 | |
Alchemy Counseling, Consultation, And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Mathews St Ste 300, Fort Collins, CO 80524 Phone: 970-217-7796 | |
Jill A. Kuhn, Ph.d. L.l.c Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 323 W Drake Rd, Suite 220, Fort Collins, CO 80526 Phone: 970-219-9206 | |
Monica Rowell Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4115 Boardwalk Dr, Suite 100, Fort Collins, CO 80525 Phone: 970-493-4580 |