| Summitstone Health Partners | |
|
4856 Innovation Dr Fort Collins CO 80525-5539 | |
| (970) 494-4200 | |
| (844) 270-1824 |
| Full Name | Summitstone Health Partners |
|---|---|
| Speciality | Clinic/Center |
| Location | 4856 Innovation Dr, Fort Collins, Colorado |
| Authorized Official Name and Position | Cynthia Dodds (CEO) |
| Authorized Official Contact | 9704944200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summitstone Health Partners 4856 Innovation Dr Fort Collins CO 80525-5539 Ph: (970) 494-4200 | Summitstone Health Partners 4856 Innovation Dr Fort Collins CO 80525-5539 Ph: (970) 494-4200 |
| NPI Number | 1821552738 |
|---|---|
| Provider Enumeration Date | 01/24/2019 |
| Last Update Date | 11/11/2024 |
| Certification Date | 11/11/2024 |
| Medicare PECOS PAC ID | 4284527144 |
|---|---|
| Medicare Enrollment ID | O20040204000768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821552738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Trina Lee Bogart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407888191 PECOS PAC ID: 6901709146 Enrollment ID: I20090121000095 |
| Provider Name | John G Schulte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568429140 PECOS PAC ID: 8123086279 Enrollment ID: I20090512000460 |
| Provider Name | Rachel A Garza Haukoos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184928426 PECOS PAC ID: 1951574771 Enrollment ID: I20111024000067 |
| Provider Name | Lesley C Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306005731 PECOS PAC ID: 4082888169 Enrollment ID: I20111130000201 |
| Provider Name | David Hamlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548221187 PECOS PAC ID: 8820259609 Enrollment ID: I20120423000562 |
| Provider Name | Zeljko M Ivanovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083669378 PECOS PAC ID: 5294709556 Enrollment ID: I20120611000259 |
| Provider Name | Rebecca S Klinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962780874 PECOS PAC ID: 4880811322 Enrollment ID: I20140807000767 |
| Provider Name | Klaudia M Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265874473 PECOS PAC ID: 8022333962 Enrollment ID: I20150217000946 |
| Provider Name | Kathleen D Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356671176 PECOS PAC ID: 4688866155 Enrollment ID: I20150504000123 |
| Provider Name | Andrea E Strayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003222670 PECOS PAC ID: 6204157399 Enrollment ID: I20150601002315 |
| Provider Name | Jessica M Coe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053428367 PECOS PAC ID: 8820319940 Enrollment ID: I20150602000210 |
| Provider Name | Megan Marie Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396178950 PECOS PAC ID: 7012203250 Enrollment ID: I20160914000846 |
| Provider Name | Bethany Engblom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134383516 PECOS PAC ID: 3274679220 Enrollment ID: I20161004000152 |
| Provider Name | Megan E Brunner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750795043 PECOS PAC ID: 7012211055 Enrollment ID: I20170303000945 |
| Provider Name | Tracy L Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326444654 PECOS PAC ID: 5395012009 Enrollment ID: I20170601000443 |
| Provider Name | Chelsea N Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841694205 PECOS PAC ID: 2062780968 Enrollment ID: I20170619000852 |
| Provider Name | Keith David Colton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215473988 PECOS PAC ID: 9032482062 Enrollment ID: I20170913001447 |
| Provider Name | Rochelle Odom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922526243 PECOS PAC ID: 5799050464 Enrollment ID: I20171005001098 |
| Provider Name | Lena Belleau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295273738 PECOS PAC ID: 1456610682 Enrollment ID: I20180117000290 |
| Provider Name | Susan L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083010300 PECOS PAC ID: 0345500252 Enrollment ID: I20180213002511 |
| Provider Name | Amy Healy-krumwiede |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679819940 PECOS PAC ID: 5597055335 Enrollment ID: I20180425000168 |
| Provider Name | Natalie Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609838093 PECOS PAC ID: 6406110659 Enrollment ID: I20180516000775 |
| Provider Name | Kate Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558755850 PECOS PAC ID: 6800107293 Enrollment ID: I20180605001817 |
| Provider Name | Amber Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326155342 PECOS PAC ID: 5395089775 Enrollment ID: I20181212001651 |
| Provider Name | Amy M Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457727083 PECOS PAC ID: 8123354768 Enrollment ID: I20190719001624 |
| Provider Name | Trinity Carson-otten Oberndorf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619084530 PECOS PAC ID: 6103155791 Enrollment ID: I20190906001751 |
| Provider Name | Celia E Rife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215370754 PECOS PAC ID: 4486892684 Enrollment ID: I20191022001171 |
| Provider Name | Kanchan Bhowmik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497100390 PECOS PAC ID: 8224461025 Enrollment ID: I20191210000314 |
| Provider Name | Janee Valenzuela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104474840 PECOS PAC ID: 6002242641 Enrollment ID: I20200130001466 |
| Provider Name | Matthew V Jaramillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154604890 PECOS PAC ID: 1153757257 Enrollment ID: I20200210001402 |
| Provider Name | Deana Beth Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871925248 PECOS PAC ID: 4789011354 Enrollment ID: I20200219002715 |
| Provider Name | Janice Hanlon-toth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134219371 PECOS PAC ID: 4789851148 Enrollment ID: I20200421003060 |
| Provider Name | Alicia M Milar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659828515 PECOS PAC ID: 8022448695 Enrollment ID: I20200422001628 |
| Provider Name | Anthony Gonzales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104335975 PECOS PAC ID: 8022430461 Enrollment ID: I20200612000502 |
| Provider Name | Jamie Dawn Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699255158 PECOS PAC ID: 4082034095 Enrollment ID: I20201013002040 |
| Provider Name | Josiah Stephen Ziegler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144753161 PECOS PAC ID: 7214207547 Enrollment ID: I20210616002905 |
| Provider Name | Erin R Slocum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457922601 PECOS PAC ID: 0749685162 Enrollment ID: I20210824001583 |
| Provider Name | Noah Edward Dommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811503766 PECOS PAC ID: 8820495757 Enrollment ID: I20210921000004 |
| Provider Name | Dawn O'keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477022135 PECOS PAC ID: 3870835713 Enrollment ID: I20220221000201 |
| Provider Name | Sonya Carson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760915599 PECOS PAC ID: 7517216518 Enrollment ID: I20220304001449 |
| Provider Name | Robert Cope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578920518 PECOS PAC ID: 7113332081 Enrollment ID: I20220419001523 |
| Provider Name | Alison Gayle Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811452949 PECOS PAC ID: 8224417738 Enrollment ID: I20220614000000 |
| Provider Name | Natalie Jacquez Quinones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497396329 PECOS PAC ID: 8921488412 Enrollment ID: I20220629003797 |
| Provider Name | Avery Scarlett Sutherland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609424522 PECOS PAC ID: 9133502610 Enrollment ID: I20220816002132 |
| Provider Name | Ben Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154662203 PECOS PAC ID: 9638541121 Enrollment ID: I20230209001476 |
| Provider Name | Michelle Sylvester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750700605 PECOS PAC ID: 2769855733 Enrollment ID: I20230222003137 |
| Provider Name | Martha A Woodard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689873580 PECOS PAC ID: 2769855436 Enrollment ID: I20230228000216 |
| Provider Name | Leslee Christopherson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700314531 PECOS PAC ID: 2567836661 Enrollment ID: I20230313000459 |
| Provider Name | Paige Listen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558993774 PECOS PAC ID: 9032583190 Enrollment ID: I20230313002834 |
| Provider Name | Nickole Kalinay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386260701 PECOS PAC ID: 7618341793 Enrollment ID: I20230314000642 |
| Provider Name | Erica Frances Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043826258 PECOS PAC ID: 6800260035 Enrollment ID: I20230329002329 |
| Provider Name | Denna Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619530987 PECOS PAC ID: 9537494810 Enrollment ID: I20230524002195 |
| Provider Name | Clayton Vinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710496740 PECOS PAC ID: 4486010907 Enrollment ID: I20230525000763 |
| Provider Name | Jodi Kimber Brightheart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427557826 PECOS PAC ID: 1557729068 Enrollment ID: I20230615000473 |
| Provider Name | Isabelle Torsiello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023665080 PECOS PAC ID: 5496118366 Enrollment ID: I20230824002436 |
| Provider Name | Kate Mccarty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972150449 PECOS PAC ID: 1850754771 Enrollment ID: I20230824004276 |
| Provider Name | Lacey Bond Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306089214 PECOS PAC ID: 7618025529 Enrollment ID: I20231101003766 |
| Provider Name | Thomas O Mitchell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588169833 PECOS PAC ID: 4486904430 Enrollment ID: I20231102000756 |
| Provider Name | Megan Hencinski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447684477 PECOS PAC ID: 5799132312 Enrollment ID: I20231103000795 |
| Provider Name | Kaleen Marie Lonergan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891403085 PECOS PAC ID: 8921455585 Enrollment ID: I20231103002526 |
| Provider Name | Lisa R. Ponfick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962416255 PECOS PAC ID: 8022016948 Enrollment ID: I20231104000787 |
| Provider Name | Jenna Rushton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144802679 PECOS PAC ID: 5991152381 Enrollment ID: I20231107000586 |
| Provider Name | Amy Smith Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356778575 PECOS PAC ID: 9830324458 Enrollment ID: I20231107000850 |
| Provider Name | Tegan Camden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609203348 PECOS PAC ID: 6204285919 Enrollment ID: I20240131003307 |
| Provider Name | Kelsey Milam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043912421 PECOS PAC ID: 0345683033 Enrollment ID: I20240209001547 |
| Provider Name | Sarah M Avrech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508645482 PECOS PAC ID: 9931545217 Enrollment ID: I20240308001482 |
| Provider Name | Jessica Leah Brickey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134575319 PECOS PAC ID: 6709222847 Enrollment ID: I20240311003365 |
| Provider Name | Jennifer Cameron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639601602 PECOS PAC ID: 8325484439 Enrollment ID: I20240312001555 |
| Provider Name | Melissa Rose Bauman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578020152 PECOS PAC ID: 1759727878 Enrollment ID: I20240312002111 |
| Provider Name | Kaylee Becker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710624788 PECOS PAC ID: 0345686473 Enrollment ID: I20240312002338 |
| Provider Name | Elissa Freeman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568019883 PECOS PAC ID: 5597101568 Enrollment ID: I20240313000326 |
| Provider Name | Donald S. Dungan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679614168 PECOS PAC ID: 1254777246 Enrollment ID: I20240313000930 |
| Provider Name | Cyndi Dodds |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912104324 PECOS PAC ID: 8921361031 Enrollment ID: I20240313003492 |
| Provider Name | Kayleigh Holder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154854651 PECOS PAC ID: 0143666016 Enrollment ID: I20240313004204 |
| Provider Name | Jeffrey M Graff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669034096 PECOS PAC ID: 7618313503 Enrollment ID: I20240314000457 |
| Provider Name | Marylee Deleo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932746401 PECOS PAC ID: 5698111508 Enrollment ID: I20240314001045 |
| Provider Name | Christine A Heim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902270416 PECOS PAC ID: 7810333671 Enrollment ID: I20240314003348 |
| Provider Name | Abigail L Callan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235481839 PECOS PAC ID: 4688010465 Enrollment ID: I20240314004110 |
| Provider Name | Eric Shane Hulsing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336453232 PECOS PAC ID: 5890132476 Enrollment ID: I20240318003674 |
| Provider Name | Heather Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154757383 PECOS PAC ID: 7517304991 Enrollment ID: I20240320003713 |
| Provider Name | Bridget L Kantor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790189173 PECOS PAC ID: 2769829159 Enrollment ID: I20240320004232 |
| Provider Name | Alysson Gwynne Delange |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568010841 PECOS PAC ID: 8022455435 Enrollment ID: I20240321000364 |
| Provider Name | Olivia Gallego Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992175632 PECOS PAC ID: 0143667592 Enrollment ID: I20240321002030 |
| Provider Name | Cassie Damato |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821223470 PECOS PAC ID: 1153768486 Enrollment ID: I20240322001063 |
| Provider Name | Jeremy Lamblin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124539499 PECOS PAC ID: 7214374206 Enrollment ID: I20240326003333 |
| Provider Name | Joshua Caleb Leber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790805844 PECOS PAC ID: 7517304439 Enrollment ID: I20240327000373 |
| Provider Name | Craig E Merrill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497971923 PECOS PAC ID: 0042657918 Enrollment ID: I20240327002106 |
| Provider Name | Scott T Marin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376947598 PECOS PAC ID: 5395182190 Enrollment ID: I20240327003922 |
| Provider Name | Angus Macleod |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568579373 PECOS PAC ID: 8729425517 Enrollment ID: I20240328003055 |
| Provider Name | Anna Beeby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720767361 PECOS PAC ID: 4486092327 Enrollment ID: I20240410003292 |
| Provider Name | Maggie Coyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730611989 PECOS PAC ID: 0446698336 Enrollment ID: I20240411001217 |
| Provider Name | Christine Bagala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053736850 PECOS PAC ID: 4981043882 Enrollment ID: I20240411001682 |
| Provider Name | Wendy A Harrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780224899 PECOS PAC ID: 1153760632 Enrollment ID: I20240416004495 |
| Provider Name | Erik J Blank |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093342412 PECOS PAC ID: 0042659153 Enrollment ID: I20240422001319 |
| Provider Name | Jacqueline Gatchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790546927 PECOS PAC ID: 5597104505 Enrollment ID: I20240423002402 |
| Provider Name | Michelle Pilar Garcia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760931646 PECOS PAC ID: 7618317629 Enrollment ID: I20240424001928 |
| Provider Name | Bree Anna Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316676299 PECOS PAC ID: 1557701299 Enrollment ID: I20240429003230 |
| Provider Name | Laura Catherine Costanzo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790426021 PECOS PAC ID: 1850731019 Enrollment ID: I20240504000136 |
| Provider Name | Tamara L Monroe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902410236 PECOS PAC ID: 9739529819 Enrollment ID: I20240507000831 |
| Provider Name | Aaron H Bekkela |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770959843 PECOS PAC ID: 4183065865 Enrollment ID: I20240513000987 |
| Provider Name | Elise Morin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154003309 PECOS PAC ID: 6901247238 Enrollment ID: I20240516003350 |
| Provider Name | Kristi Nissen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588205975 PECOS PAC ID: 0345681698 Enrollment ID: I20240516004237 |
| Provider Name | Bailee C Ohrablo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508344680 PECOS PAC ID: 6608217989 Enrollment ID: I20240517001108 |
| Provider Name | Elizabeth Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457845307 PECOS PAC ID: 7416398714 Enrollment ID: I20240517001664 |
| Provider Name | Annestazia Renae Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982302212 PECOS PAC ID: 7810338027 Enrollment ID: I20240517002319 |
| Provider Name | Robyn Payne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336674332 PECOS PAC ID: 2365883501 Enrollment ID: I20240517003645 |
| Provider Name | Courtnee Anne Qualls |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942922349 PECOS PAC ID: 9234571084 Enrollment ID: I20240523003942 |
| Provider Name | Jeanne-marie Pitre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528626686 PECOS PAC ID: 2365884947 Enrollment ID: I20240528003546 |
| Provider Name | Jessica Schwartz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447989470 PECOS PAC ID: 7214379635 Enrollment ID: I20240530000971 |
| Provider Name | David Youngs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861877060 PECOS PAC ID: 0840632139 Enrollment ID: I20240531003517 |
| Provider Name | Devon Beernink |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780128868 PECOS PAC ID: 3678015914 Enrollment ID: I20240603000834 |
| Provider Name | Mary Jane Yahn-hull |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952490799 PECOS PAC ID: 1052853306 Enrollment ID: I20240603001541 |
| Provider Name | Esther Uangbaoje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437587532 PECOS PAC ID: 6002101433 Enrollment ID: I20240603001633 |
| Provider Name | Melissa Schnee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104564038 PECOS PAC ID: 9638611841 Enrollment ID: I20240603003970 |
| Provider Name | Brandy Simmers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487906848 PECOS PAC ID: 9931641024 Enrollment ID: I20240604003415 |
| Provider Name | Amanda Rumsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245674902 PECOS PAC ID: 6406398551 Enrollment ID: I20240605000836 |
| Provider Name | Cali Thole |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669995338 PECOS PAC ID: 9133661150 Enrollment ID: I20240605003936 |
| Provider Name | Christina Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104801661 PECOS PAC ID: 5395739734 Enrollment ID: I20240606000158 |
| Provider Name | Meghan Prevost |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124454384 PECOS PAC ID: 2163964974 Enrollment ID: I20240607003259 |
| Provider Name | Jason Staires |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124135819 PECOS PAC ID: 9830631399 Enrollment ID: I20240612000658 |
| Provider Name | Michaela Dawn Hagler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326785437 PECOS PAC ID: 9335682525 Enrollment ID: I20240617000420 |
| Provider Name | Trevor Skibine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104555085 PECOS PAC ID: 9335683689 Enrollment ID: I20240627003643 |
| Provider Name | Eric D Teman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083344451 PECOS PAC ID: 0840734042 Enrollment ID: I20240628001338 |
| Provider Name | Kacey Sliger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457701443 PECOS PAC ID: 6608310297 Enrollment ID: I20240708001561 |
| Provider Name | Faith Dement |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720761703 PECOS PAC ID: 4688119670 Enrollment ID: I20240715001591 |
| Provider Name | Kendra Kutzscher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225782808 PECOS PAC ID: 9133665813 Enrollment ID: I20240718003303 |
| Provider Name | Alexander Jewett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750920344 PECOS PAC ID: 2769928142 Enrollment ID: I20240722002260 |
| Provider Name | M. Amber Karsian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841601572 PECOS PAC ID: 8123564978 Enrollment ID: I20240729002009 |
| Provider Name | Carrie K List |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841666575 PECOS PAC ID: 0042758260 Enrollment ID: I20240819001717 |
| Provider Name | Carmelle Coleman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366991911 PECOS PAC ID: 3577001700 Enrollment ID: I20240819002211 |
| Provider Name | Madison Anne Montes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578020335 PECOS PAC ID: 7416496062 Enrollment ID: I20240827001544 |
| Provider Name | Brian Joseph Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760421051 PECOS PAC ID: 7719920248 Enrollment ID: I20240827001938 |
| Provider Name | Clint Bratton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841996204 PECOS PAC ID: 3678012242 Enrollment ID: I20240827002683 |
| Provider Name | Sarah Beth Burt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528430634 PECOS PAC ID: 0345789830 Enrollment ID: I20240828002894 |
| Provider Name | Jose R Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407346927 PECOS PAC ID: 9133554116 Enrollment ID: I20240903004285 |
| Provider Name | Johnny Snyder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285363515 PECOS PAC ID: 4183165830 Enrollment ID: I20240920001823 |
| Provider Name | Rachel Marie Saccone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699433060 PECOS PAC ID: 6002348489 Enrollment ID: I20241010003283 |
| Provider Name | Victoria A Reyes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326631805 PECOS PAC ID: 5597299784 Enrollment ID: I20241111002499 |
| Provider Name | Jina Pollock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255067302 PECOS PAC ID: 4385178599 Enrollment ID: I20241111003082 |
| Provider Name | Andrew Michael Desantis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689313546 PECOS PAC ID: 8224562442 Enrollment ID: I20241111003512 |
| Provider Name | Jaycee Ko'i'ula Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295464428 PECOS PAC ID: 0042744104 Enrollment ID: I20241112001774 |
| Provider Name | Caitlyn Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740978659 PECOS PAC ID: 3173058575 Enrollment ID: I20241121003815 |
| Provider Name | Kristen King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083314843 PECOS PAC ID: 1759816002 Enrollment ID: I20241122001593 |
| Provider Name | Seth C Brost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154069177 PECOS PAC ID: 9436684735 Enrollment ID: I20241122003853 |
Wallace Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4115 Boardwalk Dr, Suite 200, Fort Collins, CO 80525 Phone: 970-817-4049 Fax: 877-833-4460 | |
Connect Therapies Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 S College Ave, Fort Collins, CO 80524 Phone: 907-663-1065 | |
Strong Hope Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 Mcclelland Dr Ste 2400, Fort Collins, CO 80525 Phone: 541-380-1622 | |
Summitstone Health Partners Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 Pennock Pl Ste 107, Fort Collins, CO 80524 Phone: 970-494-4200 | |
Alchemy Counseling, Consultation, And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Mathews St Ste 300, Fort Collins, CO 80524 Phone: 970-217-7796 | |
Jill A. Kuhn, Ph.d. L.l.c Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 323 W Drake Rd, Suite 220, Fort Collins, CO 80526 Phone: 970-219-9206 | |
Monica Rowell Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4115 Boardwalk Dr, Suite 100, Fort Collins, CO 80525 Phone: 970-493-4580 |