| West Central Mental Health Center, Inc. | |
|
3225 Independence Rd Canon City CO 81212-9380 | |
| (719) 275-2351 | |
| (719) 269-9386 |
| Full Name | West Central Mental Health Center, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3225 Independence Rd, Canon City, Colorado |
| Authorized Official Name and Position | Mandy Jo Kaisner (CEO) |
| Authorized Official Contact | 7192752351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Central Mental Health Center, Inc. 3225 Independence Rd Canon City CO 81212-9380 Ph: (719) 275-2351 | West Central Mental Health Center, Inc. 3225 Independence Rd Canon City CO 81212-9380 Ph: (719) 275-2351 |
| NPI Number | 1265565824 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Medicare PECOS PAC ID | 0042102733 |
|---|---|
| Medicare Enrollment ID | O20040326001311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265565824 | NPI | - | NPPES |
| 04200093 | Medicaid | CO |
| Provider Name | Robert Elton Tonsing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770528630 PECOS PAC ID: 8527030832 Enrollment ID: I20040809000147 |
| Provider Name | Desiree A Lipka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487788121 PECOS PAC ID: 9537103593 Enrollment ID: I20050610000784 |
| Provider Name | Lydia M Herbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831255058 PECOS PAC ID: 9335183300 Enrollment ID: I20050610000811 |
| Provider Name | John Mark Lovelace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629272497 PECOS PAC ID: 7719071000 Enrollment ID: I20070918000046 |
| Provider Name | Charles R Dygert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245391648 PECOS PAC ID: 0446316954 Enrollment ID: I20090309000471 |
| Provider Name | Michael R Gummow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285792374 PECOS PAC ID: 3678731965 Enrollment ID: I20120215000718 |
| Provider Name | Kristina M Sargent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700134434 PECOS PAC ID: 5991068678 Enrollment ID: I20180410002894 |
| Provider Name | Rajani Kollikara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104256676 PECOS PAC ID: 9931521408 Enrollment ID: I20200630000871 |
| Provider Name | Lindsay Diane Mays |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871005942 PECOS PAC ID: 4880014778 Enrollment ID: I20201014002636 |
| Provider Name | Rachel J Finkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679078810 PECOS PAC ID: 8325454663 Enrollment ID: I20210310002246 |
| Provider Name | Blake W Bernlohr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366026742 PECOS PAC ID: 8426450826 Enrollment ID: I20210707003655 |
| Provider Name | Alexander Catherine Pluta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023680857 PECOS PAC ID: 4385047349 Enrollment ID: I20210728001720 |
| Provider Name | Sarah J Briggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689344905 PECOS PAC ID: 1456759257 Enrollment ID: I20211008000989 |
| Provider Name | Sarah N Lukosi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982255873 PECOS PAC ID: 1658740782 Enrollment ID: I20221213001763 |
| Provider Name | Heather N Engle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538456496 PECOS PAC ID: 4486097037 Enrollment ID: I20240210000104 |
Skyline Counseling And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Pike Ave, Canon City, CO 81212 Phone: 719-371-1435 | |
Time For Me, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 729 Main St, Canon City, CO 81212 Phone: 719-212-1242 | |
West Central Mental Health Center, Inc Solvista Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351 | |
Royal Gorge Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 Savage Loop, Canon City, CO 81212 Phone: 720-467-9478 | |
Gateway To Success, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Yale Pl, Canon City, CO 81212 Phone: 719-275-2301 Fax: 719-896-2874 | |
Turquoise Trail Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1191 Canon Ridge Rd, Canon City, CO 81212 Phone: 719-276-2550 | |
Counseling Hearts Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1335 Phay Ave, Canon City, CO 81212 Phone: 719-371-8106 Fax: 719-458-1080 |