| North Range Behavioral Health | |
|
1300 N 17th Ave Greeley CO 80631 | |
| (970) 347-2120 | |
| (970) 346-9800 |
| Full Name | North Range Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 N 17th Ave, Greeley, Colorado |
| Authorized Official Name and Position | Larry Pottorff (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9703472373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Range Behavioral Health 1300 N 17th Ave Greeley CO 80631-9584 Ph: (970) 347-2120 | North Range Behavioral Health 1300 N 17th Ave Greeley CO 80631 Ph: (970) 347-2120 |
| NPI Number | 1669431524 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Medicare PECOS PAC ID | 1951299486 |
|---|---|
| Medicare Enrollment ID | O20040316000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669431524 | NPI | - | NPPES |
| 04190096 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 150368 (Colorado) | Primary |
| Provider Name | Janis M Overmyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124113675 PECOS PAC ID: 3072521939 Enrollment ID: I20060404000306 |
| Provider Name | Michael J Mullin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548348592 PECOS PAC ID: 5496813743 Enrollment ID: I20081015000462 |
| Provider Name | Lisa D Mcconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659608479 PECOS PAC ID: 7214077296 Enrollment ID: I20091223000232 |
| Provider Name | Thad Matthew Makowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508945031 PECOS PAC ID: 6204922560 Enrollment ID: I20100609000962 |
| Provider Name | Daniel Frantz |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1104839794 PECOS PAC ID: 1557515418 Enrollment ID: I20130131000489 |
| Provider Name | Ayesha Rehman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265672711 PECOS PAC ID: 7113175142 Enrollment ID: I20150211001940 |
| Provider Name | Catherine Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245427921 PECOS PAC ID: 4981913357 Enrollment ID: I20151026001913 |
| Provider Name | Maria S Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588769335 PECOS PAC ID: 2961702683 Enrollment ID: I20151202002626 |
| Provider Name | Lindsay K Heath |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760705313 PECOS PAC ID: 5092001339 Enrollment ID: I20160913000132 |
| Provider Name | Joanna Mary Juras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073630836 PECOS PAC ID: 8921383928 Enrollment ID: I20170313002325 |
| Provider Name | Nicole Garfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376940205 PECOS PAC ID: 4587940390 Enrollment ID: I20170410002430 |
| Provider Name | Kathryn Henecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598206435 PECOS PAC ID: 1759659840 Enrollment ID: I20170614000277 |
| Provider Name | Aquila Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811478225 PECOS PAC ID: 9537584107 Enrollment ID: I20200730001988 |
| Provider Name | Thomas Greeley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063962496 PECOS PAC ID: 5991119679 Enrollment ID: I20210121001671 |
| Provider Name | Megen L Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144625211 PECOS PAC ID: 5092114322 Enrollment ID: I20210519000087 |
| Provider Name | Jamie L Preuss-morrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891049169 PECOS PAC ID: 6800296120 Enrollment ID: I20210608002502 |
| Provider Name | Shequeeta Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033778386 PECOS PAC ID: 0042617359 Enrollment ID: I20210928003347 |
| Provider Name | Jennifer L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386040871 PECOS PAC ID: 8224418686 Enrollment ID: I20220701002774 |
| Provider Name | Alicia Louise West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891407557 PECOS PAC ID: 7810334356 Enrollment ID: I20240320001854 |
| Provider Name | Sarah Jane Monchak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134776081 PECOS PAC ID: 4789126277 Enrollment ID: I20240612001790 |
Jenna Rose, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 11th Ave, Greeley, CO 80631 Phone: 970-518-5757 | |
North Range Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 M St, Greeley, CO 80631 Phone: 970-347-2120 | |
Creative Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 25th Ave, Greeley, CO 80634 Phone: 970-378-8805 Fax: 970-378-6754 | |
North Range Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7251 W 20th St Unit C, Greeley, CO 80634 Phone: 970-347-2120 | |
Specialty Counseling & Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3257 W 20th St Ste 200, Greeley, CO 80634 Phone: 970-672-4667 Fax: 307-426-4799 | |
Sundance Counseling West Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 8th Ave, Greeley, CO 80631 Phone: 503-616-1101 | |
Colorado Treatment Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 W 16th St Ste P, Greeley, CO 80634 Phone: 970-978-4386 Fax: 970-888-3175 |