| Mayfield Counseling Centers | |
|
1283 Kelly Johnson Blvd Ste 100 Colorado Springs CO 80920-3925 | |
| (719) 452-4801 | |
| Not Available |
| Full Name | Mayfield Counseling Centers |
|---|---|
| Speciality | Counselor |
| Location | 1283 Kelly Johnson Blvd Ste 100, Colorado Springs, Colorado |
| Authorized Official Name and Position | Karla Kay Yates (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7194524803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayfield Counseling Centers 1283 Kelly Johnson Blvd Colorado Springs CO 80920-3925 Ph: (719) 452-4803 | Mayfield Counseling Centers 1283 Kelly Johnson Blvd Ste 100 Colorado Springs CO 80920-3925 Ph: (719) 452-4801 |
| NPI Number | 1588166144 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Medicare PECOS PAC ID | 9739427352 |
|---|---|
| Medicare Enrollment ID | O20190206001915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588166144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 11420 (Colorado) | Primary |
| Provider Name | James Lawrence Bixler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669963427 PECOS PAC ID: 7315285939 Enrollment ID: I20190206002112 |
| Provider Name | Beth Thornton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124897822 PECOS PAC ID: 3476905050 Enrollment ID: I20240118004305 |
| Provider Name | David Henning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063009652 PECOS PAC ID: 3577912625 Enrollment ID: I20240119002712 |
| Provider Name | Derek Bayne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962095398 PECOS PAC ID: 3375992779 Enrollment ID: I20240119002945 |
| Provider Name | Paul Assante |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245836527 PECOS PAC ID: 6800245978 Enrollment ID: I20240119003032 |
| Provider Name | Aimee Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366077364 PECOS PAC ID: 5496104317 Enrollment ID: I20240119003097 |
| Provider Name | Kelly Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902498785 PECOS PAC ID: 8628427051 Enrollment ID: I20240122003007 |
| Provider Name | Erica Lisby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407537947 PECOS PAC ID: 7113376518 Enrollment ID: I20240122003162 |
| Provider Name | Trever Shirin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205452042 PECOS PAC ID: 0345699278 Enrollment ID: I20240122004170 |
| Provider Name | Melissa Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336834266 PECOS PAC ID: 6800249905 Enrollment ID: I20240124004865 |
| Provider Name | Lauren Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336882745 PECOS PAC ID: 0840649968 Enrollment ID: I20240126004054 |
| Provider Name | Ashley Gonzales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841880168 PECOS PAC ID: 5496104515 Enrollment ID: I20240219000651 |
| Provider Name | Peggy Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487348926 PECOS PAC ID: 4082050554 Enrollment ID: I20240307001442 |
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