| Mindful Therapy Group Of Colorado, Pc | |
|
8490 E Crescent Pkwy Ste 200 Greenwood Village CO 80111-2802 | |
| (720) 316-6434 | |
| Not Available |
| Full Name | Mindful Therapy Group Of Colorado, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 8490 E Crescent Pkwy Ste 200, Greenwood Village, Colorado |
| Authorized Official Name and Position | Derek Crain (CEO) |
| Authorized Official Contact | 4256407009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Therapy Group Of Colorado, Pc 6505 216th St Sw Ste 100 Mountlake Terrace WA 98043-2089 Ph: (425) 640-7009 | Mindful Therapy Group Of Colorado, Pc 8490 E Crescent Pkwy Ste 200 Greenwood Village CO 80111-2802 Ph: (720) 316-6434 |
| NPI Number | 1972389963 |
|---|---|
| Provider Enumeration Date | 09/05/2023 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Medicare PECOS PAC ID | 3870036478 |
|---|---|
| Medicare Enrollment ID | O20240624004790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972389963 | NPI | - | NPPES |
| Provider Name | Leslie B Vannucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871759696 PECOS PAC ID: 8224340005 Enrollment ID: I20150708000775 |
| Provider Name | Rachel P Lamorte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396087292 PECOS PAC ID: 0547577959 Enrollment ID: I20180615001692 |
| Provider Name | Indizo Star Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215394820 PECOS PAC ID: 4284011032 Enrollment ID: I20220517000099 |
| Provider Name | Jaimee Lyn Brielmaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790429629 PECOS PAC ID: 2668848359 Enrollment ID: I20221020002727 |
| Provider Name | Marlen Lukatsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932706066 PECOS PAC ID: 4486067931 Enrollment ID: I20230505002495 |
| Provider Name | Kayla Rosina Ennett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902336704 PECOS PAC ID: 6406292622 Enrollment ID: I20240311002257 |
| Provider Name | S Joy Mhc Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548513823 PECOS PAC ID: 2264879840 Enrollment ID: I20240318003649 |
| Provider Name | Sarah Haily Pregmon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679249213 PECOS PAC ID: 1557804150 Enrollment ID: I20240624004999 |
| Provider Name | Gerry Threatt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285259002 PECOS PAC ID: 8224488267 Enrollment ID: I20240703001116 |
| Provider Name | Justin Malkin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548549793 PECOS PAC ID: 1759826183 Enrollment ID: I20240710002374 |
| Provider Name | Laura Elizabeth Brassie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558745596 PECOS PAC ID: 1153865118 Enrollment ID: I20240712001556 |
| Provider Name | Jennifer Marie Dudek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013375419 PECOS PAC ID: 7214473024 Enrollment ID: I20240729000650 |
| Provider Name | Catherine Lorraine Ocasio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609975101 PECOS PAC ID: 8820535511 Enrollment ID: I20240730003901 |
| Provider Name | Billie Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699299644 PECOS PAC ID: 6800334327 Enrollment ID: I20240815001756 |
| Provider Name | Melissa Mcdonald-wertz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861723249 PECOS PAC ID: 1658819024 Enrollment ID: I20240815003964 |
| Provider Name | Carolina Cambra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114234242 PECOS PAC ID: 9638619133 Enrollment ID: I20240911001970 |
| Provider Name | Terry J. Pasquin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144378324 PECOS PAC ID: 4880129105 Enrollment ID: I20241124000136 |
| Provider Name | Dylan Quigley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780374306 PECOS PAC ID: 1951836857 Enrollment ID: I20241202002924 |
Integrated Speech & Behavior Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9700 E Powers Ave, Greenwood Village, CO 80111 Phone: 303-596-9074 | |
Waymark Psychological Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6535 S Dayton St Ste 3650, Greenwood Village, CO 80111 Phone: 720-695-3369 Fax: 720-780-2069 | |
Deobrah Kawakami Ma Lpc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6400 S Fiddlers Green Cir Ste 250, Greenwood Village, CO 80111 Phone: 303-564-4575 Fax: 720-639-3531 | |
Integrated Speech & Behavior Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9700 E Powers Ave, Greenwood Village, CO 80111 Phone: 303-596-9074 | |
Endeavor Counseling & Consulting, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7950 E Prentice Ave Ste 201, Greenwood Village, CO 80111 Phone: 970-978-8105 |