| Stacy Ruse Counseling Pllc | |
|
825 Delaware Ave Ste 206 Longmont CO 80501-6169 | |
| (720) 526-8102 | |
| (817) 412-7031 |
| Full Name | Stacy Ruse Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 825 Delaware Ave Ste 206, Longmont, Colorado |
| Authorized Official Name and Position | Stacy M Ruse (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 7633704777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Ruse Counseling Pllc 825 Delaware Ave Ste 206 Longmont CO 80501-6169 Ph: (720) 526-8102 | Stacy Ruse Counseling Pllc 825 Delaware Ave Ste 206 Longmont CO 80501-6169 Ph: (720) 526-8102 |
| NPI Number | 1477935310 |
|---|---|
| Provider Enumeration Date | 06/27/2015 |
| Last Update Date | 06/14/2022 |
| Certification Date | 06/14/2022 |
| Medicare PECOS PAC ID | 1850724154 |
|---|---|
| Medicare Enrollment ID | O20191127000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477935310 | NPI | - | NPPES |
| 9000174956 | Medicaid | CO |
| Provider Name | Kimberly Chadwick Koditek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225312721 PECOS PAC ID: 0840464855 Enrollment ID: I20111130000669 |
| Provider Name | Elizabeth S Reisen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639477300 PECOS PAC ID: 8729235114 Enrollment ID: I20120820000658 |
| Provider Name | Jennifer L Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730581604 PECOS PAC ID: 5698052157 Enrollment ID: I20170510001684 |
| Provider Name | Nicholas J Boeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851786446 PECOS PAC ID: 7911287230 Enrollment ID: I20190703000430 |
| Provider Name | Molly Klekamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740748243 PECOS PAC ID: 5193158400 Enrollment ID: I20191127000255 |
| Provider Name | Michaella Arnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629653019 PECOS PAC ID: 0840607081 Enrollment ID: I20210406000274 |
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