| Crystal Reanee Kisselburgh, MA, LAC, LPCC | |
|
2956 North Ave Ste 1, Grand Junction, CO 81504-3919 | |
| (970) 208-1103 | |
| Not Available |
| Full Name | Crystal Reanee Kisselburgh |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 2956 North Ave Ste 1, Grand Junction, 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 |
|---|---|---|---|
| 1669071213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC.0026958 (Colorado) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0001546 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital | Grand junction, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Medical Group Llc | 1052612785 | 94 |
| Entity Name | Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043640634 PECOS PAC ID: 1052612785 Enrollment ID: O20151222000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Reanee Kisselburgh, MA, LAC, LPCC 649 Broken Spoke Rd, Grand Junction, CO 81504-6981 Ph: (970) 779-7824 | Crystal Reanee Kisselburgh, MA, LAC, LPCC 2956 North Ave Ste 1, Grand Junction, CO 81504-3919 Ph: (970) 208-1103 |
Lisa Marie Evanich, MA, LPC, CACIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 28 Rd, Grand Junction, CO 81501 Phone: 970-260-3321 | |
Mac Aarron Fish, LPC Counselor Medicare: Medicare Enrolled Practice Location: 844 Grand Ave Unit B, Grand Junction, CO 81501 Phone: 970-697-7995 | |
Faye D Huelsmann, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2708 Patterson Rd, Grand Junction, CO 81506 Phone: 970-243-9539 Fax: 970-245-7493 | |
Ms. Christine Claire Coffield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 660 White Ave, Grand Junction, CO 81501 Phone: 970-317-5361 | |
Jennifer Vargas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1141 N 25th St Ste C, Grand Junction, CO 81501 Phone: 970-822-2644 Fax: 970-623-7673 | |
Hailey Crane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2708 Patterson Rd, Grand Junction, CO 81506 Phone: 970-243-9539 | |
Mrs. Teresa T. Bou-matar, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 677 25 1/2 Rd, Grand Junction, CO 81505 Phone: 970-260-7017 |