| Reflective Wellness Mind And Body | |
|
13731 E Rice Pl Ste 200 Aurora CO 80015-1077 | |
| (720) 949-1707 | |
| (720) 639-2317 |
| Full Name | Reflective Wellness Mind And Body |
|---|---|
| Speciality | Counselor |
| Location | 13731 E Rice Pl Ste 200, Aurora, Colorado |
| Authorized Official Name and Position | Letitia Jackson (OWNER) |
| Authorized Official Contact | 3032573746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reflective Wellness Mind And Body 13731 E Rice Pl Ste 200 Aurora CO 80015-1077 Ph: (303) 257-3746 | Reflective Wellness Mind And Body 13731 E Rice Pl Ste 200 Aurora CO 80015-1077 Ph: (720) 949-1707 |
| NPI Number | 1083250039 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 11/25/2019 |
| Medicare PECOS PAC ID | 5294176186 |
|---|---|
| Medicare Enrollment ID | O20240509001229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083250039 | NPI | - | NPPES |
| 37554522 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Letitia Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962651703 PECOS PAC ID: 6103267091 Enrollment ID: I20240509001398 |
| Provider Name | Mallory Lauren Kruse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639726326 PECOS PAC ID: 6608319058 Enrollment ID: I20240613004025 |
| Provider Name | Danielle Vicaro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992193908 PECOS PAC ID: 9436692514 Enrollment ID: I20240617003897 |
| Provider Name | Angurie Marks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770104499 PECOS PAC ID: 2668915661 Enrollment ID: I20240618004518 |
| Provider Name | Brianna Keller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952800492 PECOS PAC ID: 2466995477 Enrollment ID: I20240619000287 |
| Provider Name | Win Winsor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154442184 PECOS PAC ID: 6608319363 Enrollment ID: I20240621003478 |
| Provider Name | Wendy Sue Henderson Bullock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275655961 PECOS PAC ID: 0446794622 Enrollment ID: I20240628000742 |
| Provider Name | Krista L Kent |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790315935 PECOS PAC ID: 8527502715 Enrollment ID: I20240628001127 |
| Provider Name | Jessica M Boettiger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780177204 PECOS PAC ID: 1052855137 Enrollment ID: I20240701000259 |
| Provider Name | Elizabeth (betsy) Tyler Bowers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780339580 PECOS PAC ID: 9830634211 Enrollment ID: I20240710000464 |
| Provider Name | Elizabeth Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215289079 PECOS PAC ID: 7416493903 Enrollment ID: I20240719003226 |
| Provider Name | Robin Munro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134683089 PECOS PAC ID: 8628514775 Enrollment ID: I20240724004004 |
| Provider Name | Tess Prince Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427794213 PECOS PAC ID: 8628501632 Enrollment ID: I20241030000322 |
| Provider Name | Sandeep Singh Gill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740893981 PECOS PAC ID: 9830623040 Enrollment ID: I20241111003054 |
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