| Kelly J Echols, LPC | |
|
400 W Midland Ave Ste 155, Woodland Park, CO 80863-3196 | |
| (719) 650-8114 | |
| Not Available |
| Full Name | Kelly J Echols |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 400 W Midland Ave Ste 155, Woodland Park, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003469511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 15493 (Colorado) | Primary |
| Entity Name | Peak Vista Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly J Echols, LPC Po Box 153, Woodland Park, CO 80866-0153 Ph: (719) 238-5800 | Kelly J Echols, LPC 400 W Midland Ave Ste 155, Woodland Park, CO 80863-3196 Ph: (719) 650-8114 |
Mrs. Danelle Dawn Jackson-stith, BCABA Counselor Medicare: Not Enrolled in Medicare Practice Location: 427 Piney Point Ln, Woodland Park, CO 80863 Phone: 719-648-3785 | |
Margaret Brimm, CCJS, CAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 W Midland Ave Ste 202, Woodland Park, CO 80863 Phone: 719-678-2464 Fax: 719-309-1323 | |
Lindsey Doering, Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 Scott Ave Ste 2d, Woodland Park, CO 80863 Phone: 719-286-9077 | |
Ms. Brenda G. Demouchet, LPC Counselor Medicare: Medicare Enrolled Practice Location: 87 Piney Point Ln, Woodland Park, CO 80863 Phone: 719-687-8214 | |
Jerilyn L Yingling, LPC, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 W Midland Ave Ste 250d, Woodland Park, CO 80863 Phone: 719-686-6703 Fax: 719-686-6704 | |
Candice Berger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 Scott Ave Ste 2b, Woodland Park, CO 80863 Phone: 719-201-8714 |