Ms Michelle Denise Johnson, LPC | |
400 W Midland Ave Ste 250, Woodland Park, CO 80863-5058 | |
(719) 551-7299 | |
Not Available |
Full Name | Ms Michelle Denise Johnson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 400 W Midland Ave Ste 250, 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 |
---|---|---|---|
1245901131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 0018678 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | LPC.0019806 (Colorado) | Primary |
Entity Name | Free Yourself |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831674449 PECOS PAC ID: 1658811823 Enrollment ID: O20240913003626 |
Mailing Address | Practice Location Address |
---|---|
Ms Michelle Denise Johnson, LPC 400 W Midland Ave Ste 250, Woodland Park, CO 80863-5058 Ph: (719) 551-7299 | Ms Michelle Denise Johnson, LPC 400 W Midland Ave Ste 250, Woodland Park, CO 80863-5058 Ph: (719) 551-7299 |
Kelly J Echols, LPC Counselor Medicare: Medicare Enrolled Practice Location: 400 W Midland Ave Ste 155, Woodland Park, CO 80863 Phone: 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 |