| Mitchell Morrison Vance, BA | |
|
711 Barnes Ave, La Junta, CO 81050-2138 | |
| (719) 384-5446 | |
| (719) 384-5672 |
| Full Name | Mitchell Morrison Vance |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 711 Barnes Ave, La Junta, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154671725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mental Health Specialty Group Pa | 8921466228 | 726 |
| Entity Name | Talkspace Provider Network Co, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518747385 PECOS PAC ID: 9335685502 Enrollment ID: O20240724000812 |
| Entity Name | Mental Health Specialty Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240809002648 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Morrison Vance, BA 711 Barnes Ave, La Junta, CO 81050-2138 Ph: (719) 384-5446 | Mitchell Morrison Vance, BA 711 Barnes Ave, La Junta, CO 81050-2138 Ph: (719) 384-5446 |
Kelsie Ann Scheuerman, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 Barnes Ave, La Junta, CO 81050 Phone: 719-384-5446 Fax: 719-384-5672 |
Janet L. Hawf, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 Barnes Ave, La Junta, CO 81050 Phone: 719-384-8503 Fax: 719-384-8411 |
Jennifer Kay Robertson, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 711 Barnes Ave, La Junta, CO 81050 Phone: 719-384-5446 Fax: 719-384-5672 |
Kara Marie Hurt, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 Barnes Ave, La Junta, CO 81050 Phone: 719-384-5446 Fax: 719-384-5672 |
Meryl Dohrmann, PH.D Counselor Medicare: Accepting Medicare Assignments Practice Location: 318 Lacey Ave, La Junta, CO 81050 Phone: 719-384-0303 Fax: 719-384-1033 |
Katherine Hawley Higgins, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 Barnes Ave, La Junta, CO 81050 Phone: 719-384-5446 Fax: 719-384-5672 |
Adam Schafer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 Barnes Ave, La Junta, CO 81050 Phone: 800-511-5446 |