| Chastidy Mariah Chacon, NCC, LPC | |
|
5401 W 10th St Ste 200, Greeley, CO 80634-4468 | |
| (970) 310-3406 | |
| Not Available |
| Full Name | Chastidy Mariah Chacon |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 5401 W 10th St Ste 200, Greeley, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508581612 | NPI | - | NPPES |
| 1461830 | Other | NBCC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC.0018539 (Colorado) | Secondary |
| 101YP2500X | Counselor - Professional | LPC.0018539 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| San Luis Valley Community Mental Health Center | 0345267779 | 24 |
| Entity Name | Valley-wide Health Systems, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790998953 PECOS PAC ID: 5991609067 Enrollment ID: O20031120000673 |
| Entity Name | San Luis Valley Community Mental Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063406999 PECOS PAC ID: 0345267779 Enrollment ID: O20051025001036 |
| Entity Name | Heart Centered Counseling Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588038681 PECOS PAC ID: 8628373651 Enrollment ID: O20160229001522 |
| Mailing Address | Practice Location Address |
|---|---|
| Chastidy Mariah Chacon, NCC, LPC Po Box 514, La Jara, CO 81140-0514 Ph: (469) 810-2021 | Chastidy Mariah Chacon, NCC, LPC 5401 W 10th St Ste 200, Greeley, CO 80634-4468 Ph: (970) 310-3406 |
Kimberly Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1306 11th Ave, Greeley, CO 80631 Phone: 970-347-2343 Fax: 970-353-3906 | |
Scott D Clawson, CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2120 Fax: 970-346-9800 | |
Anna Cruz, CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 M St, Greeley, CO 80631 Phone: 970-353-3900 | |
Dr. Arnie Guin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3459 W 20th St Ste 223-d, Greeley, CO 80634 Phone: 970-576-5485 | |
Karen L Eichel, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 M St, Greeley, CO 80631 Phone: 970-353-3900 | |
Jakob Bednarchuk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2120 | |
Malinda Alaniz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1407 8th Ave, Greeley, CO 80631 Phone: 970-347-2120 |