- Medicare Mental Health Clinic in Colorado Springs, CO

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is a medicare enrolled mental health clinic (Clinic/center - Primary Care) in Colorado Springs, Colorado. The current practice location for is 4380 Austin Bluffs Pkwy, Colorado Springs, Colorado. For appointments, you can reach them via phone at (719) 454-6009. The mailing address for is Po Box 746081, Atlanta, Georgia and phone number is (312) 733-9730.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134868599. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (719) 454-6009.

Contact Information

4380 Austin Bluffs Pkwy
Colorado Springs
CO 80918-2932
(719) 454-6009
(719) 258-1319

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityClinic/Center
Location4380 Austin Bluffs Pkwy, Colorado Springs, Colorado
Authorized Official Name and PositionGriffin Myers (CMO)
Authorized Official Contact3072642085
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 746081
Atlanta
GA 30374-6081

Ph: (312) 733-9730
4380 Austin Bluffs Pkwy
Colorado Springs
CO 80918-2932

Ph: (719) 454-6009

NPI Details:

NPI Number1134868599
Provider Enumeration Date06/02/2022
Last Update Date06/30/2023
Certification Date06/30/2023

Medicare PECOS Information:

Medicare PECOS PAC ID9032585054
Medicare Enrollment IDO20221017001648

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134868599NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameLinda Marie Hewett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952334989
PECOS PAC ID: 0143283895
Enrollment ID: I20041104000637
Provider NameJennifer A Ziouras
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619976099
PECOS PAC ID: 2860306842
Enrollment ID: I20051028000482
Provider NameGrace D Ortega-walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043363294
PECOS PAC ID: 2365542867
Enrollment ID: I20070712000827
Provider NameJanel J Moreno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346260320
PECOS PAC ID: 2668377490
Enrollment ID: I20140904001164
Provider NameTeresa K Tanabe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861895807
PECOS PAC ID: 7113235623
Enrollment ID: I20151002001402
Provider NameChe Kheng Pang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306365804
PECOS PAC ID: 5799050571
Enrollment ID: I20171004001180
Provider NameTaylor Nicole Knese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235605007
PECOS PAC ID: 5092051466
Enrollment ID: I20190107003065
Provider NameMegan Mavety
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164933578
PECOS PAC ID: 8921358565
Enrollment ID: I20190206003024
Provider NameCarolyn Shay Moore
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881821296
PECOS PAC ID: 4587809454
Enrollment ID: I20190717003958
Provider NameHannah Pienciak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790249993
PECOS PAC ID: 0749512580
Enrollment ID: I20191029001967
Provider NameLisa Marie Reed
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1770117822
PECOS PAC ID: 2466880919
Enrollment ID: I20200316000842
Provider NameJessica Irene Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225635238
PECOS PAC ID: 8022421866
Enrollment ID: I20210115000849
Provider NameKelsea Hough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861129892
PECOS PAC ID: 9638553431
Enrollment ID: I20220829000177
Provider NameSara Konopka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205561529
PECOS PAC ID: 2668856402
Enrollment ID: I20220829001951
Provider NameMichele Mitchell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174505325
PECOS PAC ID: 9234215401
Enrollment ID: I20221017001808
Provider NameErik Wallace
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477523843
PECOS PAC ID: 7113829128
Enrollment ID: I20221018000932
Provider NameHaydn Jessup
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1881056802
PECOS PAC ID: 3375910839
Enrollment ID: I20221114000810
Provider NameNatalia Klusacek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497142285
PECOS PAC ID: 1759686660
Enrollment ID: I20221208000046
Provider NameArchana Kayastha
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437628567
PECOS PAC ID: 3375877459
Enrollment ID: I20221227000493
Provider NameJustin Hunt
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1326138074
PECOS PAC ID: 6901842228
Enrollment ID: I20221228000795
Provider NameLeyna Inberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801255898
PECOS PAC ID: 9830498138
Enrollment ID: I20230601002829
Provider NameCindy Suthar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750815981
PECOS PAC ID: 6204113194
Enrollment ID: I20230804000954
Provider NameHyojeong Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790433910
PECOS PAC ID: 0648653048
Enrollment ID: I20230823002709
Provider NameAlden Zwerling
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316987852
PECOS PAC ID: 1759351877
Enrollment ID: I20231010003015
Provider NameLauren Hope Swanner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912682964
PECOS PAC ID: 2567817539
Enrollment ID: I20231011001144
Provider NameGregory Paul Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417730425
PECOS PAC ID: 4688021280
Enrollment ID: I20231102004029
Provider NameZoe Joanna Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457302382
PECOS PAC ID: 4284646258
Enrollment ID: I20231129001915
Provider NameMelissa Sheppard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548023120
PECOS PAC ID: 2466896907
Enrollment ID: I20240222003872
Provider NameCaitlyn Concklin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366041303
PECOS PAC ID: 5395284004
Enrollment ID: I20240826003991
Provider NameLila Wooten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669094751
PECOS PAC ID: 9234558941
Enrollment ID: I20240920003622
Provider NameChristiana Shoushtari
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265938906
PECOS PAC ID: 6305238189
Enrollment ID: I20240925000020
Provider NameCynthia Dolores Hongamen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508882531
PECOS PAC ID: 2567537400
Enrollment ID: I20241112001559
Provider NameGianna Martelli
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013574656
PECOS PAC ID: 9638402068
Enrollment ID: I20241121004845
Provider NameShannon Krop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104393347
PECOS PAC ID: 4082956172
Enrollment ID: I20241213001937

Reviews and Comments

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Phone: 719-650-1200    Fax: 719-619-2439

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.