Sondermind Provider Network Llc - Medicare Mental Health Clinic in Denver, CO

Sondermind Provider Network Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Denver, Colorado. The current practice location for Sondermind Provider Network Llc is 720 S Colorado Blvd Ph North, Denver, Colorado. For appointments, you can reach them via phone at (844) 843-7279. The mailing address for Sondermind Provider Network Llc is 1099 18th St Ste 2350, Denver, Colorado and phone number is (844) 843-7279.

Sondermind Provider Network Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1760854442. 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 (844) 843-7279.

Contact Information

Sondermind Provider Network Llc
720 S Colorado Blvd Ph North
Denver
CO 80246-1904
(844) 843-7279
(844) 416-0584

Map and Direction


Mental Health Clinic Profile

Full NameSondermind Provider Network Llc
SpecialitySocial Worker
Location720 S Colorado Blvd Ph North, Denver, Colorado
Authorized Official Name and PositionCarmen Feldman (DIRECTOR)
Authorized Official Contact8448437279
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sondermind Provider Network Llc
1099 18th St Ste 2350
Denver
CO 80202-1936

Ph: (844) 843-7279
Sondermind Provider Network Llc
720 S Colorado Blvd Ph North
Denver
CO 80246-1904

Ph: (844) 843-7279

NPI Details:

NPI Number1760854442
Provider Enumeration Date10/21/2015
Last Update Date03/19/2024
Certification Date03/19/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9537572490
Medicare Enrollment IDO20210113002826

Medical Identifiers

Medical identifiers for Sondermind Provider Network Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760854442NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Secondary
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Primary
106H00000XMarriage & Family Therapist (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (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. Sondermind Provider Network Llc acts as a billing entity for following providers:
Provider NameHeidi F Saltzman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1740293497
PECOS PAC ID: 0345130209
Enrollment ID: I20040316001101
Provider NameLaura S Baer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306935960
PECOS PAC ID: 0941293203
Enrollment ID: I20040405000611
Provider NameLucinda E Tacha
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063415560
PECOS PAC ID: 3274509740
Enrollment ID: I20040907000406
Provider NameDavid Petersen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497845788
PECOS PAC ID: 2668441320
Enrollment ID: I20040929000503
Provider NameEvelyn G Wertenberger
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265434773
PECOS PAC ID: 0941277255
Enrollment ID: I20041101000900
Provider NameArlene Marie Martin Bandy
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750301438
PECOS PAC ID: 3678531290
Enrollment ID: I20041229000746
Provider NameDeborah A Hughes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104269885
PECOS PAC ID: 5799700902
Enrollment ID: I20051006000829
Provider NameJulie E Lane
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316003452
PECOS PAC ID: 4284653304
Enrollment ID: I20051117001032
Provider NameElizabeth A Palmer
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1528123015
PECOS PAC ID: 5092818591
Enrollment ID: I20070321000007
Provider NameLuann Pierce
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609809763
PECOS PAC ID: 5193720134
Enrollment ID: I20070710000400
Provider NameJoy A Redstone
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194857268
PECOS PAC ID: 8224139910
Enrollment ID: I20070725000301
Provider NameLiza L York
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1659480556
PECOS PAC ID: 6002902871
Enrollment ID: I20071010000407
Provider NameDeborah A Hutson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891753703
PECOS PAC ID: 0840386546
Enrollment ID: I20071010000766
Provider NameMargery H Runyan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750567913
PECOS PAC ID: 2961573944
Enrollment ID: I20080624000520
Provider NameValerie L Cattany
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134394703
PECOS PAC ID: 1658444211
Enrollment ID: I20080716000159
Provider NameLisa P Fiola
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114919560
PECOS PAC ID: 7315013455
Enrollment ID: I20080915000024
Provider NameJayadevi Karuthasamy T Seenichamy
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730396367
PECOS PAC ID: 9436215209
Enrollment ID: I20090303000110
Provider NameDouglas A Newton
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1184727356
PECOS PAC ID: 7719032556
Enrollment ID: I20090901000134
Provider NameDavid Mallo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760545255
PECOS PAC ID: 5395875355
Enrollment ID: I20100617000647
Provider NameElishia Oliva
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1760529044
PECOS PAC ID: 3476677105
Enrollment ID: I20100901000329
Provider NameJeannie E Walter
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1669607404
PECOS PAC ID: 1052505377
Enrollment ID: I20101101000696
Provider NameAnthony Michael Sullivan
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1245362615
PECOS PAC ID: 5496934218
Enrollment ID: I20110126000517
Provider NameCharleen Bell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659672681
PECOS PAC ID: 5799969275
Enrollment ID: I20110407000153
Provider NameMarsha K Visscher
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811013436
PECOS PAC ID: 5294919668
Enrollment ID: I20110408000330
Provider NameDeidrea M Anderson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982732426
PECOS PAC ID: 7911183181
Enrollment ID: I20110524000400
Provider NameMolly L Esterl-byrne
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447376074
PECOS PAC ID: 1557548500
Enrollment ID: I20110531000725
Provider NameAlicia Kwande
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760631030
PECOS PAC ID: 0042497299
Enrollment ID: I20110615000753
Provider NameShawna M Urbanski
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1225153935
PECOS PAC ID: 2163697350
Enrollment ID: I20111216000684
Provider NameColette C Rosquist
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245565795
PECOS PAC ID: 2163698689
Enrollment ID: I20120105000322
Provider NameLara C Ristow
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801027388
PECOS PAC ID: 0042486367
Enrollment ID: I20120106000736
Provider NameJodi P Nelan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043547169
PECOS PAC ID: 1658533088
Enrollment ID: I20120501000841
Provider NameMary A Butler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1770784902
PECOS PAC ID: 9234392093
Enrollment ID: I20120515000613
Provider NameJennifer E Pollock
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346463296
PECOS PAC ID: 4587829676
Enrollment ID: I20120621000705
Provider NameMarc E Walker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720207475
PECOS PAC ID: 0941464382
Enrollment ID: I20120702000074
Provider NameJennifer G Schleinkofer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164609426
PECOS PAC ID: 3072779503
Enrollment ID: I20120726000701
Provider NameElizabeth S Reisen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639477300
PECOS PAC ID: 8729235114
Enrollment ID: I20120820000658
Provider NameChrisana B Olson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1013115724
PECOS PAC ID: 3678721305
Enrollment ID: I20120921000018
Provider NameShannon L O'connor
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1164753539
PECOS PAC ID: 9537319710
Enrollment ID: I20121024000453
Provider NameKristen M Vandenberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245558071
PECOS PAC ID: 9335265396
Enrollment ID: I20121024000828
Provider NameRebecca Mcdonald
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326384678
PECOS PAC ID: 4082869839
Enrollment ID: I20130227000282
Provider NameElisa D Fadum-montoya
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285910273
PECOS PAC ID: 2163667445
Enrollment ID: I20130315000173
Provider NameNancy S Perry
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588966766
PECOS PAC ID: 3375780018
Enrollment ID: I20130516000343
Provider NameJennifer Sewald
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750527941
PECOS PAC ID: 6305084732
Enrollment ID: I20130524000315
Provider NameDarlene L Brace
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619210382
PECOS PAC ID: 0143462481
Enrollment ID: I20130815000454
Provider NameJules Rosen
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1497720494
PECOS PAC ID: 0547456626
Enrollment ID: I20130913000219
Provider NameHannah Evans
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1013258581
PECOS PAC ID: 3870720295
Enrollment ID: I20131210001964
Provider NameCari A Friedman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437570017
PECOS PAC ID: 1153552518
Enrollment ID: I20140327001602
Provider NameDeborah Ls Westervelt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134564370
PECOS PAC ID: 0648403170
Enrollment ID: I20140507001009
Provider NameMeagan Lyn Giordano
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245667427
PECOS PAC ID: 0244453025
Enrollment ID: I20140523000710
Provider NameDiane Eberle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932441045
PECOS PAC ID: 1658594312
Enrollment ID: I20140527001063
Provider NameAlice M Vienneau
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740609866
PECOS PAC ID: 2961626684
Enrollment ID: I20140618001840
Provider NameKimberly D Jones
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1255611752
PECOS PAC ID: 6305060955
Enrollment ID: I20140623000123
Provider NameAlicia S Fankell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932476645
PECOS PAC ID: 6103046479
Enrollment ID: I20141008002157
Provider NameAdam Slack
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275701484
PECOS PAC ID: 8426279621
Enrollment ID: I20141030002307
Provider NameStacy L Schoolfield
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295168953
PECOS PAC ID: 6406178490
Enrollment ID: I20141202001217
Provider NameMargaret A Steele
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1801033212
PECOS PAC ID: 5799007696
Enrollment ID: I20141204000063
Provider NameJose Ramon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346656071
PECOS PAC ID: 0547582462
Enrollment ID: I20141204000748
Provider NameKimberly L Kelley
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326447897
PECOS PAC ID: 4981927290
Enrollment ID: I20141217001843
Provider NameMiranda G.p. Shaw
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1629239405
PECOS PAC ID: 8921321779
Enrollment ID: I20141231000131
Provider NameRaquel St Aubin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598153538
PECOS PAC ID: 0648594218
Enrollment ID: I20150130001959
Provider NameBonnie L Graham
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871739474
PECOS PAC ID: 5799906798
Enrollment ID: I20150203001171
Provider NameBrittany L Tuttle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922491117
PECOS PAC ID: 8628397031
Enrollment ID: I20150507000277
Provider NameLaura M Cote Gonzalez
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1972980233
PECOS PAC ID: 1355661612
Enrollment ID: I20150528000368
Provider NameLisa Evensky-stark
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356722417
PECOS PAC ID: 5294047825
Enrollment ID: I20150709002566
Provider NameCynthia Geissinger
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700252772
PECOS PAC ID: 8628385119
Enrollment ID: I20150916000699
Provider NameAnanda D Wick
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1558557405
PECOS PAC ID: 3072813294
Enrollment ID: I20151119002043
Provider NameGloria Anne Knoll
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144524620
PECOS PAC ID: 0648570119
Enrollment ID: I20151207000126
Provider NameIrene G Ellis
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1619138070
PECOS PAC ID: 6507167475
Enrollment ID: I20151217002356
Provider NameStephanie M Burke
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427353739
PECOS PAC ID: 0941430854
Enrollment ID: I20160318001653
Provider NameMorgen Villegas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265871404
PECOS PAC ID: 7214234947
Enrollment ID: I20160324000341
Provider NameLaurie A Whistler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639383300
PECOS PAC ID: 5395044069
Enrollment ID: I20160502000706
Provider NameLindsey Anne Carnick
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083947436
PECOS PAC ID: 0840589636
Enrollment ID: I20160518000630
Provider NameRebecca M Lane-ramsey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578829511
PECOS PAC ID: 1153611876
Enrollment ID: I20160608000307
Provider NameSuzanne Rene Nelson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033504345
PECOS PAC ID: 5597058859
Enrollment ID: I20160725000339
Provider NameBrianna C Bourne
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336482975
PECOS PAC ID: 6204129588
Enrollment ID: I20160725001036
Provider NameJonathan Shaffer
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1801170220
PECOS PAC ID: 6406141035
Enrollment ID: I20160822002363
Provider NameChristina Chismar
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174771455
PECOS PAC ID: 1153600507
Enrollment ID: I20161108001482
Provider NameDaiga Keller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1487107991
PECOS PAC ID: 9436439650
Enrollment ID: I20161206000424
Provider NameLaura Burkhardt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275083016
PECOS PAC ID: 9638450240
Enrollment ID: I20161219002019
Provider NameBrittany Brumfield
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518260488
PECOS PAC ID: 9133400872
Enrollment ID: I20170111002367
Provider NameMaria Pawlik
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801164819
PECOS PAC ID: 0547543167
Enrollment ID: I20170206001672
Provider NameChelsea M Arata
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144778507
PECOS PAC ID: 8224311683
Enrollment ID: I20170208002193
Provider NamePeggy J Bayless
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407252778
PECOS PAC ID: 4486937729
Enrollment ID: I20170210000507
Provider NameAngela Condit
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477946572
PECOS PAC ID: 4284951187
Enrollment ID: I20170216002529
Provider NameDeborah M Bowers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083159628
PECOS PAC ID: 0446534317
Enrollment ID: I20170222000460
Provider NameErin K Frey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821543661
PECOS PAC ID: 1759665839
Enrollment ID: I20170309001624
Provider NameLaurie Powell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053681437
PECOS PAC ID: 2668757279
Enrollment ID: I20170322001903
Provider NameEasha Tiwari
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154712602
PECOS PAC ID: 0345525846
Enrollment ID: I20170324000865
Provider NameKatherine E Leak
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619342763
PECOS PAC ID: 8628353745
Enrollment ID: I20170331001258
Provider NameJay Vanderwerff
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235565250
PECOS PAC ID: 4486930716
Enrollment ID: I20170420001939
Provider NameLelieth Thompson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1992146468
PECOS PAC ID: 9537446471
Enrollment ID: I20170503000564
Provider NameLyn K Lawhead
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1699210724
PECOS PAC ID: 9739466566
Enrollment ID: I20170504001732
Provider NameRebecca R Zal-sanchez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831646926
PECOS PAC ID: 8325315518
Enrollment ID: I20170518000286
Provider NameApril R Thomas-kenney
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1487979944
PECOS PAC ID: 0143597385
Enrollment ID: I20170518002466
Provider NameKerri L Frantz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1528372935
PECOS PAC ID: 9234406299
Enrollment ID: I20170522002472
Provider NameCarolyn S Hughes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902865710
PECOS PAC ID: 1658648498
Enrollment ID: I20170525001981
Provider NameMichelle Rayman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285161513
PECOS PAC ID: 3678840246
Enrollment ID: I20170602000134
Provider NameCheri L Barger
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225338700
PECOS PAC ID: 5092988071
Enrollment ID: I20170807000822
Provider NameJoanne Whalen
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1326164948
PECOS PAC ID: 7012289895
Enrollment ID: I20170815002119
Provider NameKristen M Wille
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891228409
PECOS PAC ID: 3072885672
Enrollment ID: I20170816003532
Provider NameMary K Johnston
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285188029
PECOS PAC ID: 4688961816
Enrollment ID: I20170821002918
Provider NameJoelle J Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528580487
PECOS PAC ID: 9436422128
Enrollment ID: I20170831000285
Provider NameMary S Schafer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093793291
PECOS PAC ID: 6305907023
Enrollment ID: I20170907003214
Provider NameBrent C Hall
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245644483
PECOS PAC ID: 7618240714
Enrollment ID: I20170912002953
Provider NameMisty L Grimes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700154135
PECOS PAC ID: 3274806286
Enrollment ID: I20170913000514
Provider NameMarlene A Pino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508310558
PECOS PAC ID: 6901170877
Enrollment ID: I20170918000360
Provider NameDiane M Carson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376859918
PECOS PAC ID: 7810262391
Enrollment ID: I20171010000328
Provider NameJennifer Burnett
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417973835
PECOS PAC ID: 6608141999
Enrollment ID: I20171012002487
Provider NameMeghan G Pataky
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114335031
PECOS PAC ID: 1951667013
Enrollment ID: I20171107001226
Provider NameSarah O Kausch
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932409034
PECOS PAC ID: 4082970090
Enrollment ID: I20171108000431
Provider NameLisa R Ramsey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073022240
PECOS PAC ID: 6103183009
Enrollment ID: I20171201000304
Provider NameJessica Lackey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841710209
PECOS PAC ID: 0446517023
Enrollment ID: I20171207000453
Provider NameEmily M Kleeman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932611472
PECOS PAC ID: 5496013971
Enrollment ID: I20171212000701
Provider NameSusan R Anderson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114930575
PECOS PAC ID: 0345296927
Enrollment ID: I20180102000000
Provider NameJenna Willis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942716600
PECOS PAC ID: 3173882560
Enrollment ID: I20180110000685
Provider NameEmily J Balch
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922436385
PECOS PAC ID: 6709145154
Enrollment ID: I20180111000527
Provider NameAlicia May Olson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871010066
PECOS PAC ID: 2769741057
Enrollment ID: I20180112000148
Provider NameAnnalise Catharine Everett
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740664408
PECOS PAC ID: 9436418670
Enrollment ID: I20180117000375
Provider NameNicole Saigeon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205361771
PECOS PAC ID: 0749549590
Enrollment ID: I20180124000804
Provider NameKelli Dee Garcia
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114111929
PECOS PAC ID: 5294096228
Enrollment ID: I20180307002116
Provider NameErin Manzolillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679973952
PECOS PAC ID: 8527323583
Enrollment ID: I20180523001095
Provider NameStephen A Valente
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154841054
PECOS PAC ID: 4183989064
Enrollment ID: I20180523002590
Provider NameJordan A White
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346418431
PECOS PAC ID: 3779838792
Enrollment ID: I20180615000500
Provider NameRachel P Lamorte
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396087292
PECOS PAC ID: 0547577959
Enrollment ID: I20180615001692
Provider NameBethany Ferguson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932589413
PECOS PAC ID: 6709132343
Enrollment ID: I20180711003506
Provider NameEdeltraud Archinger
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750700985
PECOS PAC ID: 2567719735
Enrollment ID: I20180723002332
Provider NameKhem M Shepsutera
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417349465
PECOS PAC ID: 2961750963
Enrollment ID: I20180808000802
Provider NameAshley A. Jarvis
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1801301817
PECOS PAC ID: 7911262225
Enrollment ID: I20180809000558
Provider NameJennifer June Crowe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023445897
PECOS PAC ID: 7416206404
Enrollment ID: I20180824000554
Provider NameRosalyn Marcia Gastel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184786469
PECOS PAC ID: 7214975705
Enrollment ID: I20180905000310
Provider NameTonya Junod
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235149444
PECOS PAC ID: 5092879775
Enrollment ID: I20180910002766
Provider NameTracy D Farmer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013412709
PECOS PAC ID: 1951652239
Enrollment ID: I20180926000468
Provider NameMeaghan Holcomb-shrader
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740457316
PECOS PAC ID: 4284859364
Enrollment ID: I20181002000159
Provider NameJayne Norton Lane
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1881186617
PECOS PAC ID: 5890047104
Enrollment ID: I20181016000517
Provider NameShannon L Harris
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841774502
PECOS PAC ID: 0648523548
Enrollment ID: I20181023001163
Provider NameSusan Ann Williams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831673227
PECOS PAC ID: 1759634249
Enrollment ID: I20181031000269
Provider NameKalpana Narayanan Nair
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255815668
PECOS PAC ID: 5991059313
Enrollment ID: I20181120003126
Provider NameJennifer Phippen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821571423
PECOS PAC ID: 2466796222
Enrollment ID: I20181205000259
Provider NameMacy D'elia
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730539180
PECOS PAC ID: 8325382807
Enrollment ID: I20181211000660
Provider NameMelinda Beth Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609280882
PECOS PAC ID: 0446477897
Enrollment ID: I20181218001750
Provider NameLisa Staab
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396299442
PECOS PAC ID: 7012282023
Enrollment ID: I20181222000261
Provider NameShonda Hill
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093145369
PECOS PAC ID: 2961748405
Enrollment ID: I20190104000531
Provider NameKatie Marie Finn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336618164
PECOS PAC ID: 9335485549
Enrollment ID: I20190109001325
Provider NameAmy R Leibli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316456981
PECOS PAC ID: 1759627672
Enrollment ID: I20190115001223
Provider NameJennifer Jennings
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1487077871
PECOS PAC ID: 1658617410
Enrollment ID: I20190115002999
Provider NameJames Harper
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972837276
PECOS PAC ID: 1254612138
Enrollment ID: I20190117003270
Provider NameDaniel W Minerva
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437203593
PECOS PAC ID: 9638416936
Enrollment ID: I20190124001568
Provider NameTina Jean Schwingler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053899989
PECOS PAC ID: 6204174816
Enrollment ID: I20190206001834
Provider NameTracy Marie Boh
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093934895
PECOS PAC ID: 0648518126
Enrollment ID: I20190207001399
Provider NameValeria Isabel Rojo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447703715
PECOS PAC ID: 9537407705
Enrollment ID: I20190213001684
Provider NameRaelee Elaine Eicke
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1023491768
PECOS PAC ID: 7416296223
Enrollment ID: I20190221002601
Provider NameLizette A Marquez Espinoza
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942749957
PECOS PAC ID: 7113266685
Enrollment ID: I20190227001731
Provider NameHeather Faulkner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285092932
PECOS PAC ID: 1658610522
Enrollment ID: I20190312000818
Provider NameDaniel J Rumberger
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1538126826
PECOS PAC ID: 5597714568
Enrollment ID: I20190325001914
Provider NameDina Marie Buckey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639544661
PECOS PAC ID: 8325389315
Enrollment ID: I20190329002080
Provider NameNatalie K Khan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417414616
PECOS PAC ID: 6103167028
Enrollment ID: I20190402002616
Provider NameKady L Svitak
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780921783
PECOS PAC ID: 4981945441
Enrollment ID: I20190410000416
Provider NameMegan Elizabeth Hutchinson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104311364
PECOS PAC ID: 7416290135
Enrollment ID: I20190521002828
Provider NameLaura Baxter
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1790181972
PECOS PAC ID: 7214270776
Enrollment ID: I20190524000542
Provider NameChristina D Titcomb
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992171623
PECOS PAC ID: 0941533137
Enrollment ID: I20190603001204
Provider NameSarah Gabriel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851870380
PECOS PAC ID: 7315297223
Enrollment ID: I20190613001440
Provider NameLisa M Whitlock
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154988756
PECOS PAC ID: 5890029235
Enrollment ID: I20190619000655
Provider NameEirin Jennifer Lewis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508233255
PECOS PAC ID: 8426382276
Enrollment ID: I20190627001414
Provider NameStephanie W Lyons
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154803146
PECOS PAC ID: 6507191327
Enrollment ID: I20190716000666
Provider NamePamela D King
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902953961
PECOS PAC ID: 6608101324
Enrollment ID: I20190717001107
Provider NameMary Little
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326487034
PECOS PAC ID: 0345575973
Enrollment ID: I20190718000673
Provider NameSayeed I Manick
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1205222361
PECOS PAC ID: 0749570893
Enrollment ID: I20190805000806
Provider NameHillary L.b. Nipple
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295286672
PECOS PAC ID: 7012244155
Enrollment ID: I20190812002622
Provider NameRebecca Cecilia Moreno
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942853049
PECOS PAC ID: 4082941836
Enrollment ID: I20190816000580
Provider NameMichael E Conner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609264217
PECOS PAC ID: 7618205311
Enrollment ID: I20190819003753
Provider NameJacqueline Kathleen Mcmillin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659816114
PECOS PAC ID: 1153659388
Enrollment ID: I20190826001049
Provider NameChristopher O Neill
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841746344
PECOS PAC ID: 8224367453
Enrollment ID: I20190912001906
Provider NameChelsea Peck
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033765649
PECOS PAC ID: 3375873672
Enrollment ID: I20190930003082
Provider NameAlison C Delassus
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477923787
PECOS PAC ID: 3274864244
Enrollment ID: I20191007002234
Provider NameJanet N Kelty
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700145299
PECOS PAC ID: 3375874126
Enrollment ID: I20191009003239
Provider NameMeridith Jaffe
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1548707946
PECOS PAC ID: 4385975523
Enrollment ID: I20191018001951
Provider NameJessica Lopez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104228477
PECOS PAC ID: 0840522439
Enrollment ID: I20191031001479
Provider NameLindsay M Meegan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306496286
PECOS PAC ID: 8820320203
Enrollment ID: I20191105000612
Provider NameClinton P Callahan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346704897
PECOS PAC ID: 4183056153
Enrollment ID: I20191112002873
Provider NameMelissa R Forrow
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215454590
PECOS PAC ID: 9436581337
Enrollment ID: I20191114002018
Provider NameAlyssa N Tran
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1144683608
PECOS PAC ID: 9032401542
Enrollment ID: I20191210000947
Provider NameMary J Prinz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003980061
PECOS PAC ID: 2860530730
Enrollment ID: I20191210001109
Provider NameAmanda Sue Watkins
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275179442
PECOS PAC ID: 9032542717
Enrollment ID: I20191211000615
Provider NameHarry M Chiang
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1336665660
PECOS PAC ID: 8729412747
Enrollment ID: I20191230001034
Provider NameAddison G Howe
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730530635
PECOS PAC ID: 7911332549
Enrollment ID: I20200108002315
Provider NameRachel C Slick
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598296949
PECOS PAC ID: 6608201579
Enrollment ID: I20200123000306
Provider NameAnn M Newman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427560986
PECOS PAC ID: 0648606228
Enrollment ID: I20200129002385
Provider NameBeverly Ann White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447898598
PECOS PAC ID: 9739515917
Enrollment ID: I20200206001565
Provider NameDennis Lynn Kuik
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023241726
PECOS PAC ID: 8224465463
Enrollment ID: I20200227001171
Provider NameJulie E Zavage
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215451539
PECOS PAC ID: 9830526946
Enrollment ID: I20200303000764
Provider NameJessica Pratt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174053045
PECOS PAC ID: 7113355868
Enrollment ID: I20200312000767
Provider NameAnna Michelle Libby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205168622
PECOS PAC ID: 7214365832
Enrollment ID: I20200313001676
Provider NameBonnie J Henderson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841454352
PECOS PAC ID: 6709189244
Enrollment ID: I20200317002186
Provider NameAnthony Braun
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285182212
PECOS PAC ID: 4587094347
Enrollment ID: I20200417001711
Provider NameAlexandra Thompson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871046292
PECOS PAC ID: 1658701412
Enrollment ID: I20200417001756
Provider NameRoberta Wendy Huttner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780216309
PECOS PAC ID: 6800225681
Enrollment ID: I20200515000637
Provider NameAmanda L Dodson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932632445
PECOS PAC ID: 6103257613
Enrollment ID: I20200518002356
Provider NameSkye Dina Ross
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346756616
PECOS PAC ID: 0648691840
Enrollment ID: I20200526000915
Provider NameCrystal Harris
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083267165
PECOS PAC ID: 5991126005
Enrollment ID: I20200528000073
Provider NameTina Diane Boyer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629691498
PECOS PAC ID: 5991126492
Enrollment ID: I20200610000608
Provider NameJessica Lorraine Perry
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073138848
PECOS PAC ID: 9537581681
Enrollment ID: I20200619000420
Provider NameRyan Coyle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730669185
PECOS PAC ID: 0941623474
Enrollment ID: I20200701000005
Provider NameTrina Lee Mauchmar
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1558673756
PECOS PAC ID: 6305127309
Enrollment ID: I20200709000506
Provider NameJennifer T Basler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689299315
PECOS PAC ID: 7911320676
Enrollment ID: I20200714001187
Provider NameDebra Anson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1538594015
PECOS PAC ID: 4183984412
Enrollment ID: I20200720001594
Provider NameWilliam Francis Konecnik
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750562500
PECOS PAC ID: 7517083561
Enrollment ID: I20200723002172
Provider NameKorissa Roesch
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245789817
PECOS PAC ID: 4981028636
Enrollment ID: I20200728001507
Provider NameKristine Crawford
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265808364
PECOS PAC ID: 0547686610
Enrollment ID: I20200819003415
Provider NameHortencia Carmen Greggs
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124441001
PECOS PAC ID: 8224456371
Enrollment ID: I20200922001647
Provider NameGretchen Jeannette Rydin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114533247
PECOS PAC ID: 5890114532
Enrollment ID: I20200930001601
Provider NameElizabeth Marie Reynolds
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619496551
PECOS PAC ID: 4880013432
Enrollment ID: I20200930002587
Provider NameJaclyn Ripperger-harrell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760027411
PECOS PAC ID: 9032538343
Enrollment ID: I20201005002793
Provider NameWhitney Sweet
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124530605
PECOS PAC ID: 3678992930
Enrollment ID: I20201006001557
Provider NameBusayo Bose Obigbesan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497116545
PECOS PAC ID: 6305265695
Enrollment ID: I20201006002833
Provider NameLaura Reinert
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1336611722
PECOS PAC ID: 9537588751
Enrollment ID: I20201007001176
Provider NameAnnika Winter Harold
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780069211
PECOS PAC ID: 9436579208
Enrollment ID: I20201015002762
Provider NameGianna Lynn Orr
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356865919
PECOS PAC ID: 4880014307
Enrollment ID: I20201021001508
Provider NameRoberta L Salazar
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700268075
PECOS PAC ID: 2365852688
Enrollment ID: I20201027002833
Provider NameNatalie Horn
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1124688460
PECOS PAC ID: 6901217348
Enrollment ID: I20201116002428
Provider NameAlastair Johnson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730733551
PECOS PAC ID: 8022429000
Enrollment ID: I20201123002957
Provider NameMorgan Lemp
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346843083
PECOS PAC ID: 2961813951
Enrollment ID: I20201123003361
Provider NameDayshun Stevens
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326642448
PECOS PAC ID: 7214349091
Enrollment ID: I20201221000267
Provider NameStephanie Therese Welker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346843034
PECOS PAC ID: 5193138618
Enrollment ID: I20201230000875
Provider NameKathryn Rohlander
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437520475
PECOS PAC ID: 3870906795
Enrollment ID: I20210113001130
Provider NameCarrie Shahbahrami
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972070498
PECOS PAC ID: 5799918710
Enrollment ID: I20210121000230
Provider NameRobert Dayton Hill
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033606546
PECOS PAC ID: 9032523543
Enrollment ID: I20210125001570
Provider NameVictoria Bernard
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1790263192
PECOS PAC ID: 4385058189
Enrollment ID: I20210205000285
Provider NameKayla Jenn Kerekes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255789517
PECOS PAC ID: 1557604568
Enrollment ID: I20210208002335
Provider NameLisa Brink
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700494663
PECOS PAC ID: 0941615520
Enrollment ID: I20210211002164
Provider NameLindsey L Bupp
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1013527134
PECOS PAC ID: 1951716547
Enrollment ID: I20210211002588
Provider NameSherri Kay Joswiak
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447430947
PECOS PAC ID: 1355756842
Enrollment ID: I20210216000070
Provider NameBarbara Mutagamba
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639795586
PECOS PAC ID: 2062827439
Enrollment ID: I20210217000067
Provider NameSusan Oehler
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1336651884
PECOS PAC ID: 8426463761
Enrollment ID: I20210218000184
Provider NameChelsea Witt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942817291
PECOS PAC ID: 9739594078
Enrollment ID: I20210218000441
Provider NameDon J O'malley
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992816979
PECOS PAC ID: 7214342427
Enrollment ID: I20210222001911
Provider NameSharon Elaine Wharton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376189241
PECOS PAC ID: 0840605069
Enrollment ID: I20210222002523
Provider NameJeanette Nicastri
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720398274
PECOS PAC ID: 2365857406
Enrollment ID: I20210223000556
Provider NameKimberly Rasmussen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1952923534
PECOS PAC ID: 3072928159
Enrollment ID: I20210223002441
Provider NameMichelle Lynne Kuecker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174174387
PECOS PAC ID: 9638584733
Enrollment ID: I20210224000086
Provider NameMelvin T Grier
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1770528929
PECOS PAC ID: 3971918871
Enrollment ID: I20210225002641
Provider NameKelly Lenn Yeldell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366676249
PECOS PAC ID: 9638585599
Enrollment ID: I20210302000357
Provider NameMatthew Truman Shaffer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912277500
PECOS PAC ID: 3870860091
Enrollment ID: I20210302001187
Provider NameHeather Hans
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972002657
PECOS PAC ID: 6901212257
Enrollment ID: I20210310002515
Provider NameAriel Rendt Padron
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1699226936
PECOS PAC ID: 6901212265
Enrollment ID: I20210310003043
Provider NameRachael Meir
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1154623445
PECOS PAC ID: 5698181956
Enrollment ID: I20210311000009
Provider NameSavannah J Guglielmo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306268180
PECOS PAC ID: 3072929298
Enrollment ID: I20210311002577
Provider NameSara Hammond
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447681077
PECOS PAC ID: 0749696839
Enrollment ID: I20210316001253
Provider NameKaren E Cale
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245778190
PECOS PAC ID: 8921331125
Enrollment ID: I20210316002875
Provider NameAngelie Healy
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629594452
PECOS PAC ID: 1254698343
Enrollment ID: I20210318000790
Provider NamePauline Mae Boyd
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780187245
PECOS PAC ID: 0244647287
Enrollment ID: I20210318001874
Provider NameAmanda M Bernheim
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629599758
PECOS PAC ID: 8123435906
Enrollment ID: I20210323000503
Provider NameRobin Ennis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780982934
PECOS PAC ID: 4880001684
Enrollment ID: I20210323001301
Provider NameMelyssa Joy Stout
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942565106
PECOS PAC ID: 4789091588
Enrollment ID: I20210323001350
Provider NameShannon Booker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437742012
PECOS PAC ID: 5799192530
Enrollment ID: I20210324000305
Provider NameChristiane Laracuente
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407215981
PECOS PAC ID: 4789091448
Enrollment ID: I20210324001436
Provider NameBarbara F Jedrzejek
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1952778367
PECOS PAC ID: 6305253055
Enrollment ID: I20210325001837
Provider NameTodd Aaron Brossart
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033368634
PECOS PAC ID: 9931516531
Enrollment ID: I20210326001397
Provider NameMelanie Holwerda-hommes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710369004
PECOS PAC ID: 8022425503
Enrollment ID: I20210330000059
Provider NameRobyn Mayeux
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346858610
PECOS PAC ID: 4587071089
Enrollment ID: I20210330000866
Provider NameTara Lorena Bass
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972799351
PECOS PAC ID: 8123435633
Enrollment ID: I20210330001321
Provider NameMeghan Ashley Morrissey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093180853
PECOS PAC ID: 8628485034
Enrollment ID: I20210401000418
Provider NameHeather Ackley
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851925655
PECOS PAC ID: 3577970649
Enrollment ID: I20210408000355
Provider NameJulia Veser
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619135803
PECOS PAC ID: 9436567427
Enrollment ID: I20210412001088
Provider NameAnnie L Wharton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134697741
PECOS PAC ID: 1759799711
Enrollment ID: I20210413001140
Provider NameRoberta Raelson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386622751
PECOS PAC ID: 1052203395
Enrollment ID: I20210414000521
Provider NameRikki Hanson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922690080
PECOS PAC ID: 6002224953
Enrollment ID: I20210414002384
Provider NameJohn Gary Rowe
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629538129
PECOS PAC ID: 3678981438
Enrollment ID: I20210415000295
Provider NameEllen Thistle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992314009
PECOS PAC ID: 8426466020
Enrollment ID: I20210420002704
Provider NameWendy Becker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1538276837
PECOS PAC ID: 6305183898
Enrollment ID: I20210421001831
Provider NameAdam Kleger
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700204724
PECOS PAC ID: 5496163818
Enrollment ID: I20210422002338
Provider NameAlicia Maria Matheson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942881131
PECOS PAC ID: 5092123422
Enrollment ID: I20210422002585
Provider NameMiranda J Franklin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912376229
PECOS PAC ID: 2466861158
Enrollment ID: I20210510002029
Provider NameMichael Eugene Jay
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598079642
PECOS PAC ID: 7315356912
Enrollment ID: I20210512000609
Provider NameEdvina Leboeuf
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205418381
PECOS PAC ID: 1557760709
Enrollment ID: I20210520002192
Provider NameSilvia Yareli Lazaro-estala
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043792096
PECOS PAC ID: 9133528276
Enrollment ID: I20210524000247
Provider NameLaura Mckeon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285185785
PECOS PAC ID: 0547669681
Enrollment ID: I20210524000413
Provider NameNici Graves
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124681648
PECOS PAC ID: 7214336213
Enrollment ID: I20210525000483
Provider NameStacey L Fitzpatrick
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992334767
PECOS PAC ID: 7214336130
Enrollment ID: I20210526001763
Provider NameScott Barton Dewalt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306165469
PECOS PAC ID: 2567861255
Enrollment ID: I20210601000107
Provider NameMona Elizabeth Osterhoudt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285212878
PECOS PAC ID: 3072912625
Enrollment ID: I20210601002764
Provider NameJamie L Preuss-morrison
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891049169
PECOS PAC ID: 6800296120
Enrollment ID: I20210608002502
Provider NameKevin Patrick Gillmore
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093278673
PECOS PAC ID: 8628478104
Enrollment ID: I20210621003202
Provider NameJulia H Hultgren
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235611120
PECOS PAC ID: 4385045202
Enrollment ID: I20210630000663
Provider NameAcasha Kerr
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457910630
PECOS PAC ID: 3870829815
Enrollment ID: I20210715003154
Provider NameNichole Lange
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154757821
PECOS PAC ID: 4789086422
Enrollment ID: I20210716002248
Provider NameJennifer R Hedrick
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598948457
PECOS PAC ID: 7719380427
Enrollment ID: I20210719002070
Provider NameTracy Schneider Bovino
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427609296
PECOS PAC ID: 9739582487
Enrollment ID: I20210720000007
Provider NameLucy Mull
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720671076
PECOS PAC ID: 4385048065
Enrollment ID: I20210803000302
Provider NameLeslie Manning
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346840030
PECOS PAC ID: 2466856539
Enrollment ID: I20210811002611
Provider NameJulia Dengel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326411422
PECOS PAC ID: 7618371626
Enrollment ID: I20210812000144
Provider NameElisabeth Benoit Montgomery
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265846059
PECOS PAC ID: 7416351382
Enrollment ID: I20210814000055
Provider NameKelly Berry
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205090883
PECOS PAC ID: 6406250372
Enrollment ID: I20210814000141
Provider NameSadie Louise Williams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821275223
PECOS PAC ID: 7214332618
Enrollment ID: I20210824000506
Provider NameJulie E Preston Schilling
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265882526
PECOS PAC ID: 6406251610
Enrollment ID: I20210826001939
Provider NameCatherine Gailey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255901377
PECOS PAC ID: 2668877747
Enrollment ID: I20210827001381
Provider NameMegan Alyssa Vance
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184199341
PECOS PAC ID: 2567868466
Enrollment ID: I20210901000413
Provider NameAnn Weatherby
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720545148
PECOS PAC ID: 5092111922
Enrollment ID: I20210901001362
Provider NameVictoria Spenser-nicholas Grey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295259950
PECOS PAC ID: 6305242058
Enrollment ID: I20210907000728
Provider NameLaura Ann Moffett
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801418082
PECOS PAC ID: 2769888007
Enrollment ID: I20210910002666
Provider NameKristianne Louise Goff
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972099174
PECOS PAC ID: 3971909268
Enrollment ID: I20210913001454
Provider NameJennifer Leimbach
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225608201
PECOS PAC ID: 9638575814
Enrollment ID: I20210914001582
Provider NameMegan Marie Decorte
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295402139
PECOS PAC ID: 7719383843
Enrollment ID: I20210915000068
Provider NameJessica Walls
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730723834
PECOS PAC ID: 1759788821
Enrollment ID: I20210916002627
Provider NameErin Claudia Graff
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912423906
PECOS PAC ID: 5294132270
Enrollment ID: I20210917000144
Provider NameKelsey Schwartz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013465665
PECOS PAC ID: 1759788755
Enrollment ID: I20210917000959
Provider NameDylan Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114543493
PECOS PAC ID: 9335546225
Enrollment ID: I20210920001891
Provider NameHannah Elizabeth Williams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518360601
PECOS PAC ID: 1153728357
Enrollment ID: I20210929003435
Provider NameMeryl Franklin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275914897
PECOS PAC ID: 1355749359
Enrollment ID: I20211005003130
Provider NameDiane Pukajlo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982729927
PECOS PAC ID: 7315345204
Enrollment ID: I20211006003595
Provider NameRaina E Bridge
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316512205
PECOS PAC ID: 5496153124
Enrollment ID: I20211012000310
Provider NameZachary J Spearman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1801568951
PECOS PAC ID: 0042618530
Enrollment ID: I20211014000214
Provider NameBeth Robin Palent Saper
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982273405
PECOS PAC ID: 1254739634
Enrollment ID: I20211015001268
Provider NameTina Rose
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1851700280
PECOS PAC ID: 0840411344
Enrollment ID: I20211018002225
Provider NameMichelle Roberts
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164872149
PECOS PAC ID: 1355749649
Enrollment ID: I20211019000157
Provider NameOlivia Renee Cooper
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841962628
PECOS PAC ID: 3476941360
Enrollment ID: I20211026001861
Provider NameAlicia J Kielas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396221362
PECOS PAC ID: 0840537627
Enrollment ID: I20211029002222
Provider NameShannon Scott
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316545270
PECOS PAC ID: 5890184287
Enrollment ID: I20211104002095
Provider NameConsuelo De Jesus Salas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407070097
PECOS PAC ID: 4688063779
Enrollment ID: I20211110003277
Provider NameJustin R Ragon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093325409
PECOS PAC ID: 4880094945
Enrollment ID: I20211112001261
Provider NameJoshua Aevum
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972082303
PECOS PAC ID: 4183013006
Enrollment ID: I20211116000725
Provider NameBethany Bernard
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609473503
PECOS PAC ID: 3971992512
Enrollment ID: I20211119001011
Provider NameJessica Lea Chezhia
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801387832
PECOS PAC ID: 2668861154
Enrollment ID: I20211123001710
Provider NameSarah Elizabeth Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356726830
PECOS PAC ID: 0345630661
Enrollment ID: I20211201000104
Provider NameAlena Mecomber
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1962973099
PECOS PAC ID: 6406246479
Enrollment ID: I20211206002204
Provider NameSabrina Gohlke
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518629948
PECOS PAC ID: 9638560956
Enrollment ID: I20211221002514
Provider NameJudy Cole
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1295858884
PECOS PAC ID: 3375934615
Enrollment ID: I20211222000481
Provider NameSiri Austill
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104201185
PECOS PAC ID: 8426449497
Enrollment ID: I20211230000075
Provider NameChristina Weatherbee
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114566098
PECOS PAC ID: 1850783564
Enrollment ID: I20220110000041
Provider NameJennifer Schoolcraft
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861807588
PECOS PAC ID: 0547677064
Enrollment ID: I20220118001828
Provider NameJoni Antonia
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013161090
PECOS PAC ID: 2062804263
Enrollment ID: I20220125000311
Provider NameHeather Laughlin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730773540
PECOS PAC ID: 7719379718
Enrollment ID: I20220125002866
Provider NameJanice C Gonzales
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1215567425
PECOS PAC ID: 8022400035
Enrollment ID: I20220125003179
Provider NameLaurel Ann Maik
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1275137838
PECOS PAC ID: 6103219936
Enrollment ID: I20220131001189
Provider NameLinda Herbert
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750546107
PECOS PAC ID: 2365509965
Enrollment ID: I20220208001049
Provider NameAdrienne Schmidt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891070090
PECOS PAC ID: 1658765573
Enrollment ID: I20220218000513
Provider NameDonald Emmerich
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215507645
PECOS PAC ID: 6507250214
Enrollment ID: I20220223000895
Provider NameSara Lynn Greenlee
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356097232
PECOS PAC ID: 8729474812
Enrollment ID: I20220329000998
Provider NameSharrie D'andrea Cranford
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033707872
PECOS PAC ID: 7517353618
Enrollment ID: I20220329001189
Provider NameBrendan Mark Haggerty
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1699300210
PECOS PAC ID: 6709273634
Enrollment ID: I20220425001003
Provider NameMallory Lois Hislar
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306482666
PECOS PAC ID: 0840687422
Enrollment ID: I20220428002750
Provider NameKaitlyn Genevieve Haak
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629595962
PECOS PAC ID: 3274920525
Enrollment ID: I20220505000305
Provider NameKelly Melissa Stuerke
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417297649
PECOS PAC ID: 6002293354
Enrollment ID: I20220506001809
Provider NameJeremy Hodess
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891142311
PECOS PAC ID: 9032479639
Enrollment ID: I20220513002015
Provider NameRachel Morrell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710635180
PECOS PAC ID: 1850778606
Enrollment ID: I20220517000003
Provider NameChaela Rochelle Figueroa
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811507858
PECOS PAC ID: 5890172688
Enrollment ID: I20220517001574
Provider NameAnne Brubacher
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265023022
PECOS PAC ID: 0446639884
Enrollment ID: I20220615002185
Provider NameMary Grace Haas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093478943
PECOS PAC ID: 9436530334
Enrollment ID: I20220725000984
Provider NameKristen Pellow
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508519349
PECOS PAC ID: 5193107886
Enrollment ID: I20220727002759
Provider NameMckenna Joosten
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235862426
PECOS PAC ID: 3577945690
Enrollment ID: I20220804003767
Provider NameErika Mateus
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396149795
PECOS PAC ID: 2769864677
Enrollment ID: I20220809000375
Provider NameCatherine E Wasson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295234953
PECOS PAC ID: 9830572767
Enrollment ID: I20220810001396
Provider NameEdward Bloch
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619957040
PECOS PAC ID: 8123019874
Enrollment ID: I20220812003089
Provider NameBethany Neal
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1538818281
PECOS PAC ID: 7911380506
Enrollment ID: I20220815001435
Provider NameMaya Linda Arellanes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245644210
PECOS PAC ID: 9032592621
Enrollment ID: I20220815001697
Provider NameCheryl D Martin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1528088655
PECOS PAC ID: 1456734086
Enrollment ID: I20220815003379
Provider NameTillary Tice
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326607417
PECOS PAC ID: 6709292063
Enrollment ID: I20220816003846
Provider NameVictoria Harms
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922767680
PECOS PAC ID: 5092198515
Enrollment ID: I20220816003977
Provider NameCriston A Menz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609484062
PECOS PAC ID: 9032592233
Enrollment ID: I20220822001605
Provider NameSara Cooley
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346882594
PECOS PAC ID: 5496187445
Enrollment ID: I20220829002216
Provider NameNancy Beatrice Vargas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619621026
PECOS PAC ID: 0547644205
Enrollment ID: I20220829003471
Provider NameKathleen A Mcgrath
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780114991
PECOS PAC ID: 2062771553
Enrollment ID: I20220829003811
Provider NameAmanda Stevens
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215456686
PECOS PAC ID: 4880078567
Enrollment ID: I20220830000245
Provider NameRyan Brock Holmes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033850292
PECOS PAC ID: 5395129076
Enrollment ID: I20220830000374
Provider NameHolly Hathaway
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730303074
PECOS PAC ID: 7012964133
Enrollment ID: I20220830002614
Provider NameSamantha Myers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891389482
PECOS PAC ID: 0547644270
Enrollment ID: I20220830002844
Provider NameMegan Leann Schalembier
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194460600
PECOS PAC ID: 5597149245
Enrollment ID: I20220830003646
Provider NameBrittany E Rasky
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811511827
PECOS PAC ID: 4082098645
Enrollment ID: I20220830004514
Provider NameWilliam Huntley
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043596620
PECOS PAC ID: 2163806720
Enrollment ID: I20220830004531
Provider NameKendrick Sewell Lutz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659043651
PECOS PAC ID: 5193109767
Enrollment ID: I20220831000235
Provider NameNatalie Thomas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811406689
PECOS PAC ID: 7719361302
Enrollment ID: I20220831001084
Provider NameAlexa Argianas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588332407
PECOS PAC ID: 0941684534
Enrollment ID: I20220831001320
Provider NameRianna Laskovich
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144818923
PECOS PAC ID: 5193109734
Enrollment ID: I20220831003099
Provider NameHolly Belasco
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588051700
PECOS PAC ID: 5092148361
Enrollment ID: I20220907002163
Provider NameJesse Lauren Johnson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427794221
PECOS PAC ID: 4880078047
Enrollment ID: I20220907002453
Provider NameKimberly Ann Harmel-graves
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811627433
PECOS PAC ID: 9335523455
Enrollment ID: I20220908001219
Provider NameDenise Loggie
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902216500
PECOS PAC ID: 4880989425
Enrollment ID: I20220912000580
Provider NameRachel Rodeno
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922757517
PECOS PAC ID: 0941685598
Enrollment ID: I20220916002837
Provider NameRay Jamaal Herndon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760611636
PECOS PAC ID: 2567847031
Enrollment ID: I20220920000586
Provider NameKathryn Konicek
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689265639
PECOS PAC ID: 6002291598
Enrollment ID: I20220920001570
Provider NameKatherine Mary Sideras
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780303982
PECOS PAC ID: 7012392483
Enrollment ID: I20220921001567
Provider NameJarah Adrianna Grashorn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023624723
PECOS PAC ID: 3072999234
Enrollment ID: I20220926003597
Provider NameNatalie Root
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780313387
PECOS PAC ID: 4385020130
Enrollment ID: I20220930001408
Provider NamePeter F Crowley
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982217295
PECOS PAC ID: 6002292539
Enrollment ID: I20221006000380
Provider NameAngel Marie Saiz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275265324
PECOS PAC ID: 0941686422
Enrollment ID: I20221006001965
Provider NameHeather Tara Rosenblatt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912659731
PECOS PAC ID: 2567848963
Enrollment ID: I20221010000764
Provider NameErica Guerrero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538769773
PECOS PAC ID: 5597143776
Enrollment ID: I20221013000305
Provider NameShayna B Alper
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740800515
PECOS PAC ID: 8325414584
Enrollment ID: I20221013001686
Provider NameLaura Louise Cannone
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285386656
PECOS PAC ID: 8224404306
Enrollment ID: I20221013003217
Provider NameRick Dino Velez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982785325
PECOS PAC ID: 3870969884
Enrollment ID: I20221017001558
Provider NameShannon Barfield
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124574363
PECOS PAC ID: 4385010313
Enrollment ID: I20221017002218
Provider NameJessica Kate Scherer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871248468
PECOS PAC ID: 7214303056
Enrollment ID: I20221019000224
Provider NameSteve Anthony Livingston
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1366114605
PECOS PAC ID: 2365818028
Enrollment ID: I20221020001512
Provider NameErica Harris
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497140073
PECOS PAC ID: 8325335037
Enrollment ID: I20221022000175
Provider NameBrooke Rochelle Lederer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942923396
PECOS PAC ID: 1355717950
Enrollment ID: I20221024001431
Provider NameAmanda Myer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164979647
PECOS PAC ID: 4981070091
Enrollment ID: I20221024001540
Provider NameCarrie Therese Thrall
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285651299
PECOS PAC ID: 2264808633
Enrollment ID: I20221026002906
Provider NameArvind Kumar Karwan
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1992170666
PECOS PAC ID: 4981070364
Enrollment ID: I20221027000104
Provider NameJocelyn Stott
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295332385
PECOS PAC ID: 4284001678
Enrollment ID: I20221027000883
Provider NameSarah Tadlock
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124606306
PECOS PAC ID: 6103293378
Enrollment ID: I20221031002514
Provider NameBreanna Almodova
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1679294706
PECOS PAC ID: 5496122699
Enrollment ID: I20221101000716
Provider NameErica Leigh Kelly
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972245447
PECOS PAC ID: 0446627657
Enrollment ID: I20221101000980
Provider NameDustin Halliwell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447601463
PECOS PAC ID: 0345617171
Enrollment ID: I20221107002798
Provider NameAmitabh Daniel Singh
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922721034
PECOS PAC ID: 3678940442
Enrollment ID: I20221108001149
Provider NameNicholas Robert Fry
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972223923
PECOS PAC ID: 1951778695
Enrollment ID: I20221109000821
Provider NameLisa K Broussard
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1538880596
PECOS PAC ID: 6103294624
Enrollment ID: I20221115000106
Provider NameBobby Lee Brown
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1235735911
PECOS PAC ID: 5991173304
Enrollment ID: I20221116000519
Provider NameShannah Ziatz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609034263
PECOS PAC ID: 7416325782
Enrollment ID: I20221116003147
Provider NameHunter L Sawyer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396461224
PECOS PAC ID: 5496123242
Enrollment ID: I20221129000614
Provider NameCarol Collins
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124544705
PECOS PAC ID: 8628446366
Enrollment ID: I20221130001019
Provider NameJamie Laube
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942953757
PECOS PAC ID: 7810365509
Enrollment ID: I20221130003494
Provider NameSarah Lintzenich
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407564651
PECOS PAC ID: 3375911993
Enrollment ID: I20221201001095
Provider NameKristen Lynn Withrow
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801511076
PECOS PAC ID: 3173992757
Enrollment ID: I20221205001590
Provider NameAbigail J Kimm
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1356065312
PECOS PAC ID: 8224407630
Enrollment ID: I20221207000750
Provider NameMelanie Virginia Wade
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174240378
PECOS PAC ID: 0547639882
Enrollment ID: I20221208002800
Provider NameJordan Ami Dalton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689103657
PECOS PAC ID: 4789053851
Enrollment ID: I20221212002349
Provider NameLindy Kay Wetzel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1487286670
PECOS PAC ID: 6204206774
Enrollment ID: I20221227000522
Provider NameAlexa Bruck
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609401819
PECOS PAC ID: 9032525746
Enrollment ID: I20221230000533
Provider NameWilliam Edward Mead
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154734424
PECOS PAC ID: 3577933654
Enrollment ID: I20230105003107
Provider NameBrandy Head
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598360653
PECOS PAC ID: 3072926450
Enrollment ID: I20230127000066
Provider NameKathryn Messman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306553102
PECOS PAC ID: 8022489970
Enrollment ID: I20230201000230
Provider NamePaul Darren Zimmerman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437734423
PECOS PAC ID: 6204207160
Enrollment ID: I20230201000720
Provider NameKyle Csw Varvil
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386355956
PECOS PAC ID: 1052782919
Enrollment ID: I20230201001009
Provider NameDonald E Claussen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194346148
PECOS PAC ID: 3971975855
Enrollment ID: I20230202003392
Provider NameFara Diane Murata
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023126422
PECOS PAC ID: 6800268574
Enrollment ID: I20230206001155
Provider NameJerrold Yeo Jun Tian
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1851638050
PECOS PAC ID: 9436581162
Enrollment ID: I20230210000840
Provider NameLena Greene
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053620492
PECOS PAC ID: 4587036702
Enrollment ID: I20230215002249
Provider NameMonica Connell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366150831
PECOS PAC ID: 2860864071
Enrollment ID: I20230216003111
Provider NameLea S Burns
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1417264672
PECOS PAC ID: 3274765573
Enrollment ID: I20230217001105
Provider NameHeather Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255923017
PECOS PAC ID: 3577936335
Enrollment ID: I20230227002440
Provider NameJoshua Vensor
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164838140
PECOS PAC ID: 0042684672
Enrollment ID: I20230322003144
Provider NameTanya Portee
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376273151
PECOS PAC ID: 3173998093
Enrollment ID: I20230407000418
Provider NameSamuel Kim
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1316361728
PECOS PAC ID: 5597121939
Enrollment ID: I20230510000943
Provider NameAmanda L Maguire
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518664390
PECOS PAC ID: 2062878168
Enrollment ID: I20230516001103
Provider NameJohn W Floyd
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861865891
PECOS PAC ID: 9739545328
Enrollment ID: I20230524002686
Provider NameJulie Furtado
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295437879
PECOS PAC ID: 8022474246
Enrollment ID: I20230524003703
Provider NameBreann Mckenzie Goodall
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255990743
PECOS PAC ID: 1557727013
Enrollment ID: I20230525002376
Provider NameMarissa Martin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811630072
PECOS PAC ID: 7416314919
Enrollment ID: I20230526000929
Provider NameTanya Kaplan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356586358
PECOS PAC ID: 1557728797
Enrollment ID: I20230605000492
Provider NameCheri Ann Slaughter
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740526359
PECOS PAC ID: 7810354784
Enrollment ID: I20230608000089
Provider NameDale Thompson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588896542
PECOS PAC ID: 6204293194
Enrollment ID: I20230608000929
Provider NameJennifer Glace
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1881193068
PECOS PAC ID: 6901264381
Enrollment ID: I20230615003615
Provider NamePaul Donald Stubbs
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1669107785
PECOS PAC ID: 6002274404
Enrollment ID: I20230616000467
Provider NameJanine M Schiavoni
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235588666
PECOS PAC ID: 1951769355
Enrollment ID: I20230616000749
Provider NameJanessa N Schueler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720744055
PECOS PAC ID: 1850759580
Enrollment ID: I20230628000245
Provider NameAmy L Myhre
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114408713
PECOS PAC ID: 3577922129
Enrollment ID: I20230629003635
Provider NameSamantha Wogan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447760293
PECOS PAC ID: 6608235171
Enrollment ID: I20230630000408
Provider NameGlynn Forkey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013246792
PECOS PAC ID: 7315220373
Enrollment ID: I20230711001138
Provider NameShannon E Hunt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760085815
PECOS PAC ID: 1355701285
Enrollment ID: I20230724002066
Provider NameAshley Allen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841634433
PECOS PAC ID: 8224000666
Enrollment ID: I20230728001058
Provider NameJosh Burke
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902266091
PECOS PAC ID: 3870901960
Enrollment ID: I20230807001220
Provider NameMaria Dawn Henson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245987510
PECOS PAC ID: 5799146767
Enrollment ID: I20230807003950
Provider NameRachael M Sutton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710633755
PECOS PAC ID: 4789046681
Enrollment ID: I20230809001685
Provider NameElizabeth Jeanette Matson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306589205
PECOS PAC ID: 7517329394
Enrollment ID: I20230810001254
Provider NameStephanie Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063143121
PECOS PAC ID: 2567824360
Enrollment ID: I20230810002046
Provider NameLisa Claire Boyle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083023584
PECOS PAC ID: 9032571849
Enrollment ID: I20230810003012
Provider NameCarly Loonie
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003144007
PECOS PAC ID: 4385006063
Enrollment ID: I20230811001646
Provider NameAaron Evans-jackson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295369197
PECOS PAC ID: 6507281748
Enrollment ID: I20230822000157
Provider NameJan Cooper-nadav
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023026275
PECOS PAC ID: 4789047325
Enrollment ID: I20230829003375
Provider NameHarold Stewart
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184689176
PECOS PAC ID: 9537250113
Enrollment ID: I20230907000441
Provider NameHeather Harcourt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508357781
PECOS PAC ID: 1456604230
Enrollment ID: I20230907002818
Provider NameAlexandria Ambrose
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1396489407
PECOS PAC ID: 7214391333
Enrollment ID: I20230907003916
Provider NameRebecca Clinton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003054891
PECOS PAC ID: 1456743624
Enrollment ID: I20230913001012
Provider NameMary Wilkes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154887305
PECOS PAC ID: 1355682295
Enrollment ID: I20230915002328
Provider NameLaura Jean Rambikur
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215303839
PECOS PAC ID: 1658735113
Enrollment ID: I20230915003291
Provider NameSarah Laub
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073112223
PECOS PAC ID: 4981068335
Enrollment ID: I20230918004253
Provider NameJenna Vogen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1770246530
PECOS PAC ID: 4486018744
Enrollment ID: I20230919004032
Provider NameKenneth Grider
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588317762
PECOS PAC ID: 1153775374
Enrollment ID: I20230921002918
Provider NameRenee Garnier
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376895334
PECOS PAC ID: 0547520231
Enrollment ID: I20230922001117
Provider NameMitra Shahryary
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1487349395
PECOS PAC ID: 7113381567
Enrollment ID: I20230922001398
Provider NameValerie Noelle Silvers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1548598121
PECOS PAC ID: 0941654941
Enrollment ID: I20230925003229
Provider NameAshlea-ann Thornton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1548578990
PECOS PAC ID: 0345694246
Enrollment ID: I20230926004016
Provider NameJasmine A Dean
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891152716
PECOS PAC ID: 6002261302
Enrollment ID: I20231005003008
Provider NameMorgan Seymour
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366922569
PECOS PAC ID: 8820443245
Enrollment ID: I20231005003174
Provider NameKaren Irick
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053452201
PECOS PAC ID: 1658442090
Enrollment ID: I20231012000185
Provider NameAngel D Vest
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093221004
PECOS PAC ID: 8426403643
Enrollment ID: I20231014000648
Provider NameSusan C Merrill
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1538738653
PECOS PAC ID: 7517312119
Enrollment ID: I20231017003953
Provider NameNancy L Mickelson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366932824
PECOS PAC ID: 1951757095
Enrollment ID: I20231026001576
Provider NameTracy Gano
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629628425
PECOS PAC ID: 7618323684
Enrollment ID: I20231026003617
Provider NameAudra Perez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982266128
PECOS PAC ID: 3779939632
Enrollment ID: I20231028000392
Provider NameKeesha Sledge
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821401704
PECOS PAC ID: 2466701891
Enrollment ID: I20231109002146
Provider NameKimberly Kanna
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851977953
PECOS PAC ID: 9638536196
Enrollment ID: I20231110000008
Provider NameSarah Elizabeth Schweppe
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992272736
PECOS PAC ID: 9335516566
Enrollment ID: I20231110000010
Provider NameJessica Reilly
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194238675
PECOS PAC ID: 8527415405
Enrollment ID: I20231115000204
Provider NameLuciana Erin Brunscheen
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1073037602
PECOS PAC ID: 4486002789
Enrollment ID: I20231128000159
Provider NameMichelle Renee Hastings
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1588001077
PECOS PAC ID: 5890072508
Enrollment ID: I20231201000334
Provider NameElizabeth Coleman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1669578316
PECOS PAC ID: 4486084985
Enrollment ID: I20231212002638
Provider NameAndrea Lynn L'heureux
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1922625078
PECOS PAC ID: 6507215704
Enrollment ID: I20231213002587
Provider NameHolly D. Shockley
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1043497068
PECOS PAC ID: 5193175859
Enrollment ID: I20231221002598
Provider NameKelsi Renae Klug
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1346696630
PECOS PAC ID: 3072963669
Enrollment ID: I20231221004173
Provider NameDawn Elizabeth Darnell
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1003209966
PECOS PAC ID: 2163872631
Enrollment ID: I20231223000295
Provider NameLinda Kay Elliott
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1720748205
PECOS PAC ID: 9335599661
Enrollment ID: I20231228000866
Provider NameAyonna M Chappell
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1710475017
PECOS PAC ID: 6204286560
Enrollment ID: I20231228002262
Provider NameMary Aragon
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1497121388
PECOS PAC ID: 9830549104
Enrollment ID: I20231228002313
Provider NameDeanna J Mcgrath
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1376673129
PECOS PAC ID: 1557711702
Enrollment ID: I20231229001454
Provider NameShawna Fishman
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1710043716
PECOS PAC ID: 0042660227
Enrollment ID: I20231229002475
Provider NameJames Cameron
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1841744414
PECOS PAC ID: 7810347028
Enrollment ID: I20240102000308
Provider NameAaron Dorfman
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1972017135
PECOS PAC ID: 7416307533
Enrollment ID: I20240102000821
Provider NameJohn L Anderson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1508981945
PECOS PAC ID: 7214387216
Enrollment ID: I20240102003950
Provider NameAllison Cook
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1144749516
PECOS PAC ID: 7517317548
Enrollment ID: I20240103000839
Provider NameKent Ryan Kelley
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1003449802
PECOS PAC ID: 3274983242
Enrollment ID: I20240103002435
Provider NameTerrie Sue Martinez
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1285220202
PECOS PAC ID: 3678924685
Enrollment ID: I20240103004191
Provider NameJeffrey Kevin Parker
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1285068171
PECOS PAC ID: 3971954991
Enrollment ID: I20240103004515
Provider NameJameika Matlock
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1255898169
PECOS PAC ID: 8729439757
Enrollment ID: I20240103004847
Provider NameShauna Shipps
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1700263795
PECOS PAC ID: 6800247842
Enrollment ID: I20240104000255
Provider NameSamantha L Miller
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1598148504
PECOS PAC ID: 4880045715
Enrollment ID: I20240104003878
Provider NameShondra Cizek
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1740949239
PECOS PAC ID: 5597116434
Enrollment ID: I20240104004043
Provider NameHanna Marie Carrell
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1275186132
PECOS PAC ID: 4486005329
Enrollment ID: I20240104004105
Provider NameAdam Roenfeldt
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1831507748
PECOS PAC ID: 2668823535
Enrollment ID: I20240105000330
Provider NameKristen Thayn
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1134479900
PECOS PAC ID: 9739530510
Enrollment ID: I20240105001142
Provider NameStephanie Marie Johnson Pace
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326709221
PECOS PAC ID: 7911358718
Enrollment ID: I20240105001581
Provider NameJames Thomas Omalley
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1174147615
PECOS PAC ID: 1951751460
Enrollment ID: I20240105003105
Provider NameKathleen Ann Lau
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1740584895
PECOS PAC ID: 3375994114
Enrollment ID: I20240105003147
Provider NameDebbie Marlyn French
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1417128794
PECOS PAC ID: 1951752419
Enrollment ID: I20240109002216
Provider NameBarbara Jean Pannell
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1346742368
PECOS PAC ID: 7618328188
Enrollment ID: I20240109002455
Provider NameMatthew Carlson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1023362613
PECOS PAC ID: 8022363084
Enrollment ID: I20240110000969
Provider NameBrandon Engler
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1629783121
PECOS PAC ID: 3870944259
Enrollment ID: I20240110002208
Provider NameJennifer E Fischer
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1316408800
PECOS PAC ID: 2860844875
Enrollment ID: I20240116000771
Provider NameLaurie M Albright
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174396543
PECOS PAC ID: 1355793399
Enrollment ID: I20240116001677
Provider NameSuzanne L Foster
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1740437078
PECOS PAC ID: 0143672832
Enrollment ID: I20240118001210
Provider NameMolly Carpenter
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1952429698
PECOS PAC ID: 4183077340
Enrollment ID: I20240124003278
Provider NameDawn Ervin Venable
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1831855774
PECOS PAC ID: 2769835719
Enrollment ID: I20240126000586
Provider NameAlyssa Klugh
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1255618344
PECOS PAC ID: 1355794280
Enrollment ID: I20240126004084
Provider NameRenae Maria Dellacroce
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1366401077
PECOS PAC ID: 7012369788
Enrollment ID: I20240129002858
Provider NameHugh M Keating
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1962517359
PECOS PAC ID: 5496108177
Enrollment ID: I20240130000412
Provider NameDana Rae Krakow
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1801023619
PECOS PAC ID: 6507219102
Enrollment ID: I20240131000745
Provider NameRachel Kari English
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1144542275
PECOS PAC ID: 6103279716
Enrollment ID: I20240131001144
Provider NameNick Zaring
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1255903704
PECOS PAC ID: 9133572654
Enrollment ID: I20240131001709
Provider NameAmy Gutknecht
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1851873863
PECOS PAC ID: 4587017041
Enrollment ID: I20240131003355
Provider NameJenifer Papaccio
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1033779574
PECOS PAC ID: 4385097260
Enrollment ID: I20240131003541
Provider NameNancy Charles Littleford
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1649570193
PECOS PAC ID: 4789037151
Enrollment ID: I20240201002279
Provider NameLori Ahuja
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1730954090
PECOS PAC ID: 9931552320
Enrollment ID: I20240201002740
Provider NameRebecca Jill Craig
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1437378924
PECOS PAC ID: 8729431051
Enrollment ID: I20240201004495
Provider NamePaula Stephani
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1306002464
PECOS PAC ID: 1153774484
Enrollment ID: I20240201004618
Provider NameJoy Simpson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1992865398
PECOS PAC ID: 3375891302
Enrollment ID: I20240202000139
Provider NameMelissa Lynn Balent
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1356863799
PECOS PAC ID: 0749633089
Enrollment ID: I20240202000143
Provider NameLisa Irene Williams
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1609970706
PECOS PAC ID: 9537512876
Enrollment ID: I20240202000263
Provider NameSharon Ann Rohde
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1831646587
PECOS PAC ID: 8426401761
Enrollment ID: I20240202000321
Provider NameJulie Rushkewicz
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1376931469
PECOS PAC ID: 8123471497
Enrollment ID: I20240202001168
Provider NameKatherine Daugaard
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1295363992
PECOS PAC ID: 5698118859
Enrollment ID: I20240205004089
Provider NameRose Quinn
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1093241515
PECOS PAC ID: 0749623858
Enrollment ID: I20240206001600
Provider NameBeth Russell
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1528414489
PECOS PAC ID: 3779926886
Enrollment ID: I20240206001859
Provider NameJennifer Murray
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1205226917
PECOS PAC ID: 3072956069
Enrollment ID: I20240206004995
Provider NameLynnette R Craig
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1477186484
PECOS PAC ID: 7214370253
Enrollment ID: I20240207001368
Provider NameNancy Ellen Pitre-jasko
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1386263838
PECOS PAC ID: 9830532878
Enrollment ID: I20240207001442
Provider NameAshlee Aleena Cespedes
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1437778271
PECOS PAC ID: 8820431877
Enrollment ID: I20240207001814
Provider NameBrian Davis
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1245570399
PECOS PAC ID: 1052754926
Enrollment ID: I20240207002760
Provider NameKimyatta Greathouse Fails
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1134396278
PECOS PAC ID: 1951744838
Enrollment ID: I20240207003503
Provider NamePhilip Keith Mcbrain
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1407249907
PECOS PAC ID: 2860835600
Enrollment ID: I20240208000971
Provider NameJenna Deubler
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1114278892
PECOS PAC ID: 9133562937
Enrollment ID: I20240208002756
Provider NamePatrick Leonard Jeter
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1487069357
PECOS PAC ID: 4385087022
Enrollment ID: I20240208004613
Provider NameNancy Mae Turner
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1528636990
PECOS PAC ID: 3072956762
Enrollment ID: I20240209001777
Provider NameGage Gerardi
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1659883296
PECOS PAC ID: 1951744515
Enrollment ID: I20240210000427
Provider NameMelissa Beth Smart
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1003121765
PECOS PAC ID: 7315380987
Enrollment ID: I20240211000055
Provider NameMary Gretchen Hoggatt
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1902526072
PECOS PAC ID: 0446693964
Enrollment ID: I20240212001627
Provider NameMartin Christopher Dee
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1417150087
PECOS PAC ID: 8325481849
Enrollment ID: I20240212001715
Provider NameSarah Elizabeth Hernandez
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1225224009
PECOS PAC ID: 2668815101
Enrollment ID: I20240212002445
Provider NameLynn S Johnson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1407183056
PECOS PAC ID: 8224471784
Enrollment ID: I20240212003103
Provider NameJo-ann Cahill O'neil
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1447457106
PECOS PAC ID: 8224471719
Enrollment ID: I20240212003838
Provider NameMeredith Potter
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1003353830
PECOS PAC ID: 4082057492
Enrollment ID: I20240213000352
Provider NameAlison E Mcginty
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1578992848
PECOS PAC ID: 4688017049
Enrollment ID: I20240213002175
Provider NameDebra Williams
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1770860652
PECOS PAC ID: 8628411014
Enrollment ID: I20240213003471
Provider NameJane Dally
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1174895213
PECOS PAC ID: 5991149387
Enrollment ID: I20240213003519
Provider NameRobin Trent Levitt
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1477073716
PECOS PAC ID: 7416391867
Enrollment ID: I20240214000926
Provider NameGina Michelle Tambone
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1295939213
PECOS PAC ID: 1951790765
Enrollment ID: I20240214001738
Provider NameJanet Yelowchan
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1215994124
PECOS PAC ID: 9133563422
Enrollment ID: I20240214002539
Provider NameRyan A Smith
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1912374844
PECOS PAC ID: 7810331139
Enrollment ID: I20240214003502
Provider NameKathryn Montgomery
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1730374018
PECOS PAC ID: 7618311887
Enrollment ID: I20240215001035
Provider NameFrancine Elizabeth Becker
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1477080620
PECOS PAC ID: 7113361312
Enrollment ID: I20240215002763
Provider NameLaura D Byard
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1427233147
PECOS PAC ID: 5092159210
Enrollment ID: I20240215002935
Provider NameAngela Dawkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538508643
PECOS PAC ID: 2769616481
Enrollment ID: I20240216000068
Provider NameNannette Florin Amodeo
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1801305982
PECOS PAC ID: 7618311796
Enrollment ID: I20240216000777
Provider NameSasha Petrovick
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1093176257
PECOS PAC ID: 3375987472
Enrollment ID: I20240216001487
Provider NameKatharine Anne Gannon
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1447568720
PECOS PAC ID: 1456795459
Enrollment ID: I20240219000116
Provider NameAmanda Kayes
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1174273379
PECOS PAC ID: 5597109595
Enrollment ID: I20240219000279
Provider NameLorri Lynn Wesson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1891925822
PECOS PAC ID: 0143664169
Enrollment ID: I20240219000600
Provider NameHuiling Wang Pritchett
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1891366365
PECOS PAC ID: 4688018625
Enrollment ID: I20240219001456
Provider NameJessica Anne Mortensen
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1356688683
PECOS PAC ID: 2466896303
Enrollment ID: I20240219001942
Provider NameJustin Paul Lark
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1962087445
PECOS PAC ID: 7618310228
Enrollment ID: I20240219002134
Provider NameIsabella Chayne I Boutillette
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1508990086
PECOS PAC ID: 5193169985
Enrollment ID: I20240220003771
Provider NameKrista Noelle Christensen
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1174734669
PECOS PAC ID: 9032553771
Enrollment ID: I20240221001112
Provider NameMichelle Keelan
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1518556448
PECOS PAC ID: 1052755717
Enrollment ID: I20240221001704
Provider NameThomas Saathoff
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1003415068
PECOS PAC ID: 3476996554
Enrollment ID: I20240221003520
Provider NameAlysia Patel
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1508309618
PECOS PAC ID: 7911341581
Enrollment ID: I20240222001333
Provider NameCynthia Tanaka
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1962940205
PECOS PAC ID: 5294179743
Enrollment ID: I20240222004326
Provider NameBrenda G Demouchet
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1083820989
PECOS PAC ID: 9830534320
Enrollment ID: I20240223001985
Provider NameDiane Policelli
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1649504580
PECOS PAC ID: 7214372762
Enrollment ID: I20240223003650
Provider NameRoberta Irene Perno
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1760618086
PECOS PAC ID: 0446695712
Enrollment ID: I20240226003320
Provider NameKatarzyna Poczwardowska
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1508314493
PECOS PAC ID: 7113362393
Enrollment ID: I20240227003647
Provider NameMichael Dean Gusack
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1548285158
PECOS PAC ID: 6507201704
Enrollment ID: I20240227004401
Provider NameKristin Janine Myers
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1871175802
PECOS PAC ID: 3173968385
Enrollment ID: I20240228000040
Provider NameKrista Leigh Bickelhaupt
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1932412608
PECOS PAC ID: 5193160315
Enrollment ID: I20240228000253
Provider NameJanice Lea Woods
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1689826059
PECOS PAC ID: 9335584556
Enrollment ID: I20240228000415
Provider NameJoy Lyn Hetzler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841938925
PECOS PAC ID: 9133564362
Enrollment ID: I20240228000463
Provider NameLaura Lee Fehmi
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1689072423
PECOS PAC ID: 5496190621
Enrollment ID: I20240228000526
Provider NameElyssabeth Beers
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1801338355
PECOS PAC ID: 8729423959
Enrollment ID: I20240228000660
Provider NameStacey Carol Dirzuweit
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1699969899
PECOS PAC ID: 9133564206
Enrollment ID: I20240228002385
Provider NameMartin Baker
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1639743982
PECOS PAC ID: 4082059191
Enrollment ID: I20240228003786
Provider NameLeah Sadeghi
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1356734719
PECOS PAC ID: 2163867144
Enrollment ID: I20240229001626
Provider NameKimberly Ann Emmert
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1477076784
PECOS PAC ID: 8628413382
Enrollment ID: I20240304002978
Provider NameDavid Bryan Friedentag
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1063028637
PECOS PAC ID: 3971948522
Enrollment ID: I20240305002505
Provider NameKendal Wellington Humes
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1508221276
PECOS PAC ID: 0446696058
Enrollment ID: I20240306000251
Provider NameMonique Phillip
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1629510805
PECOS PAC ID: 1951747401
Enrollment ID: I20240307000692
Provider NameAlexis A Baca-spry
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1598194672
PECOS PAC ID: 1951746460
Enrollment ID: I20240307001261
Provider NameTamara Graff
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1568740124
PECOS PAC ID: 1355787730
Enrollment ID: I20240307001834
Provider NameDiana L Fresquez
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1275768277
PECOS PAC ID: 7113363516
Enrollment ID: I20240307002871
Provider NameMelissa Kimberlee Farmer
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1689216327
PECOS PAC ID: 7214373679
Enrollment ID: I20240308000412
Provider NameAnna Lauer Roy
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1831483981
PECOS PAC ID: 5496191751
Enrollment ID: I20240308000722
Provider NameJoni D Beckner
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1770792269
PECOS PAC ID: 6002252327
Enrollment ID: I20240308003074
Provider NameKayla Rosina Ennett
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1902336704
PECOS PAC ID: 6406292622
Enrollment ID: I20240311002257
Provider NameKenneth James Pott
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1891987012
PECOS PAC ID: 3274979406
Enrollment ID: I20240311002774
Provider NameAnna Tiffany Hill
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1134353741
PECOS PAC ID: 7810333986
Enrollment ID: I20240312000163
Provider NameTamara Graham
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164960522
PECOS PAC ID: 8628414711
Enrollment ID: I20240312000920
Provider NameKellie Jean Turner
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1376160325
PECOS PAC ID: 2567808678
Enrollment ID: I20240312001713
Provider NameEmily Lutringer
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1215286372
PECOS PAC ID: 7517303621
Enrollment ID: I20240312001893
Provider NameDezerae Daniels
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1447936141
PECOS PAC ID: 0749626745
Enrollment ID: I20240313001174
Provider NameLynne Marie Rosenberg
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1336586981
PECOS PAC ID: 5395181309
Enrollment ID: I20240313001499
Provider NameToni Lavely
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1558819961
PECOS PAC ID: 4587000401
Enrollment ID: I20240313002332
Provider NameJulia Al-sager
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1861862161
PECOS PAC ID: 6002252921
Enrollment ID: I20240313002456
Provider NameMiranda Day
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1396338067
PECOS PAC ID: 1850737719
Enrollment ID: I20240313003835
Provider NameNicole Suzanne Snyder
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1386397214
PECOS PAC ID: 4385080266
Enrollment ID: I20240313004577
Provider NameBrianna Marie Montoya-anderson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1780120808
PECOS PAC ID: 7810333796
Enrollment ID: I20240314000065
Provider NameElaine Carol Blackmer
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1063587756
PECOS PAC ID: 9739525593
Enrollment ID: I20240314003323
Provider NameLisa Dorner-zupancic
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1205184322
PECOS PAC ID: 8729424502
Enrollment ID: I20240314004341
Provider NameLisa M Domengeaux
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1730663873
PECOS PAC ID: 1759727456
Enrollment ID: I20240315001134
Provider NameHira S Siddiqui
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1588232920
PECOS PAC ID: 2264878958
Enrollment ID: I20240318000176
Provider NameClive Russell Hallam
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1811154321
PECOS PAC ID: 2860876653
Enrollment ID: I20240318001418
Provider NameKailey Adams
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1235676511
PECOS PAC ID: 3971940610
Enrollment ID: I20240318002115
Provider NameDemian Patricia Wood
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1578622668
PECOS PAC ID: 4587001185
Enrollment ID: I20240319000801
Provider NameShayna Lynn Miller
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1598910069
PECOS PAC ID: 5799122206
Enrollment ID: I20240320000703
Provider NamePaula K Nolls
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1093345720
PECOS PAC ID: 2961849484
Enrollment ID: I20240320001164
Provider NameLaura Renee Burk
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1760987796
PECOS PAC ID: 5597102020
Enrollment ID: I20240320001268
Provider NameLeslie L Way
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1790808491
PECOS PAC ID: 2769829209
Enrollment ID: I20240320001738
Provider NameAnnemie Van Linden
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1265865588
PECOS PAC ID: 5496192882
Enrollment ID: I20240320004255
Provider NameNicole Bernardi
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164292967
PECOS PAC ID: 0345687752
Enrollment ID: I20240321000564
Provider NameNicole Cristina Robles
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1598995631
PECOS PAC ID: 2365889631
Enrollment ID: I20240321003151
Provider NamePatrick J Cole
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1366595142
PECOS PAC ID: 9032556337
Enrollment ID: I20240321004229
Provider NameJillian Quinn Lees
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437806106
PECOS PAC ID: 3476990623
Enrollment ID: I20240322002895
Provider NameLayla M Hernandez
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1972940385
PECOS PAC ID: 3577900760
Enrollment ID: I20240322004319
Provider NameMichael Stephen Clifton
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1124611405
PECOS PAC ID: 8628415775
Enrollment ID: I20240325002003
Provider NameSusan Kaye Klein
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1588834253
PECOS PAC ID: 6103263256
Enrollment ID: I20240325002299
Provider NameBrenda Wilking
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1881770238
PECOS PAC ID: 0345687448
Enrollment ID: I20240325004069
Provider NameTrisha Danielle Broadright
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1588049951
PECOS PAC ID: 1759728868
Enrollment ID: I20240326000172
Provider NameMeggan M Mcbride-garwood
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437441284
PECOS PAC ID: 6608213665
Enrollment ID: I20240326002417
Provider NameMarissa Rose Foster
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1225537434
PECOS PAC ID: 9830536770
Enrollment ID: I20240327000969
Provider NameCamille S Rhoades
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1639498215
PECOS PAC ID: 2668810409
Enrollment ID: I20240329001097
Provider NameKevin Lapoint
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1942719679
PECOS PAC ID: 4880032549
Enrollment ID: I20240401002880
Provider NameCarrie Lei Slavens
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1780286195
PECOS PAC ID: 5294172292
Enrollment ID: I20240401003130
Provider NameChristine Lynn Tierramar
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1184212813
PECOS PAC ID: 4587002167
Enrollment ID: I20240402000709
Provider NameYevgeniy Slutskiy
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1912279639
PECOS PAC ID: 0042663098
Enrollment ID: I20240402001331
Provider NameWilliam Boniface
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1104202597
PECOS PAC ID: 7810335338
Enrollment ID: I20240403002025
Provider NameLindsay Ann Roberts
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1114240710
PECOS PAC ID: 9234577693
Enrollment ID: I20240403004000
Provider NameEmily Stern
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1790355097
PECOS PAC ID: 6002254406
Enrollment ID: I20240404001264
Provider NameAngela Mccasland
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1881041994
PECOS PAC ID: 7517305915
Enrollment ID: I20240404001369
Provider NameJulie Pepin
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1407375629
PECOS PAC ID: 1456799865
Enrollment ID: I20240404001690
Provider NameJean Marie Miller
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1932863875
PECOS PAC ID: 9032557210
Enrollment ID: I20240406000505
Provider NameTobias Gale
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1669135687
PECOS PAC ID: 5698113538
Enrollment ID: I20240410003549
Provider NameCanna O'carroll
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1770101297
PECOS PAC ID: 0547609257
Enrollment ID: I20240415001331
Provider NameStephanie Ann Trudeaux
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1962024984
PECOS PAC ID: 1254770837
Enrollment ID: I20240416000321
Provider NameSara Elizabeth Bauer
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1659025039
PECOS PAC ID: 6709225329
Enrollment ID: I20240416001868
Provider NameMary Joalice Milan
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1750014478
PECOS PAC ID: 8527407089
Enrollment ID: I20240416003610
Provider NameDawn Denise Warren
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1154749109
PECOS PAC ID: 7214376771
Enrollment ID: I20240416003768
Provider NameKelsie Leigh Mcguire
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1003425083
PECOS PAC ID: 2264871219
Enrollment ID: I20240423003898
Provider NameMelanie Mcginn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245933522
PECOS PAC ID: 0840630695
Enrollment ID: I20240426003495
Provider NameDebra Jane Thornton
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1982182366
PECOS PAC ID: 9638519200
Enrollment ID: I20240430000789
Provider NameSusan Margaret Ryan
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1922260249
PECOS PAC ID: 6608216890
Enrollment ID: I20240506000627
Provider NamePenelope J Hazinakis-swainston
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1942749544
PECOS PAC ID: 1456791540
Enrollment ID: I20240507001726
Provider NameLesli St. John
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1598160954
PECOS PAC ID: 2567803307
Enrollment ID: I20240510003211
Provider NameShemeah Richardson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1598912578
PECOS PAC ID: 3678926268
Enrollment ID: I20240516002175
Provider NameDavid G. Hayden
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1225162696
PECOS PAC ID: 3779925805
Enrollment ID: I20240521003451
Provider NameCynthia Davis
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1588113179
PECOS PAC ID: 4981046992
Enrollment ID: I20240522002249
Provider NameJennifer Pelo
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1376917369
PECOS PAC ID: 3870935703
Enrollment ID: I20240523002529
Provider NameMelissa Raddatz
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1386098010
PECOS PAC ID: 0244672012
Enrollment ID: I20240524000351
Provider NameKrystoffer Loren Bowman
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1386150738
PECOS PAC ID: 8123460516
Enrollment ID: I20240530003494
Provider NameKristi Alisssa Gallego
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1487001525
PECOS PAC ID: 9830631167
Enrollment ID: I20240603000502
Provider NameMichael Patrick Mccafferty
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1457530081
PECOS PAC ID: 0547702706
Enrollment ID: I20240604001820
Provider NameLuis Kashdaro Luna
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1003330309
PECOS PAC ID: 1355883463
Enrollment ID: I20240604003980
Provider NameVandana Otto
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1578260212
PECOS PAC ID: 4587106414
Enrollment ID: I20240606004374
Provider NameAmanda Crossland
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1588060073
PECOS PAC ID: 3678015518
Enrollment ID: I20240607000273
Provider NameAngela Kaye Quinn
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1821165945
PECOS PAC ID: 9335681188
Enrollment ID: I20240607000921
Provider NameNancy Raffaele-ilic
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1598420861
PECOS PAC ID: 8022550821
Enrollment ID: I20240607002679
Provider NameWindy Doan
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1619399565
PECOS PAC ID: 7113469917
Enrollment ID: I20240607002682
Provider NameCindy Geiger
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1306277165
PECOS PAC ID: 7315489853
Enrollment ID: I20240612000090
Provider NameRachel Everett
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1902155013
PECOS PAC ID: 2163965526
Enrollment ID: I20240613004428
Provider NameKristin N Gearhart
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1083816730
PECOS PAC ID: 4880137249
Enrollment ID: I20240613004475
Provider NameCharlotte Mulloy
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1518619006
PECOS PAC ID: 1254874530
Enrollment ID: I20240614000802
Provider NameJonathan Sargent
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1912325739
PECOS PAC ID: 8921541210
Enrollment ID: I20240614001451

Reviews and Comments

Social Worker in Denver, CO

Unlimited Potential Therapy Services, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4610 S Ulster St, Ste 150, Denver, CO 80237
Phone: 303-290-7407    
Pepe Santana, Phd
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 90 Madison St, Suite 402, Denver, CO 80206
Phone: 720-272-0565    
Mindsolutions
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 2204 N Emerson St, Denver, CO 80205
Phone: 970-424-4061    
Field Of Vision Counseling
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1177 N Grant St Ste 308, Denver, CO 80203
Phone: 720-668-6482    
Alis Behavioral Health
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1325 S Colorado Blvd Ste B705, Denver, CO 80222
Phone: 888-528-3860    
Bonnie Brae Counseling Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2424 S Lincoln St, Denver, CO 80210
Phone: 720-432-7432    
Succeed Aba Co Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7535 E Hampden Ave Ste 400, Denver, CO 80231
Phone: 463-777-8323    

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.