| Richard Alan Boldridge, | |
|
41 Montebello Rd Ste Ll1, Pueblo, CO 81001 | |
| (719) 545-2746 | |
| (719) 542-9638 |
| Full Name | Richard Alan Boldridge |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 41 Montebello Rd Ste Ll1, Pueblo, 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 |
|---|---|---|---|
| 1073747762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC.0014104 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health Solutions | 0143110668 | 42 |
| Entity Name | Health Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033165527 PECOS PAC ID: 0143110668 Enrollment ID: O20040318000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Alan Boldridge, 41 Montebello Rd Ste 202, Pueblo, CO 81001-1366 Ph: (719) 545-2746 | Richard Alan Boldridge, 41 Montebello Rd Ste Ll1, Pueblo, CO 81001 Ph: (719) 545-2746 |
Mr. Darren Mitchell Speier, BS CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 E 13th St, Pueblo, CO 81001 Phone: 719-546-6666 Fax: 719-543-7764 | |
Penelope Hyland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-545-2746 Fax: 719-545-4100 | |
Jaycob Gonzales-cordova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-423-1882 | |
James Ryan Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1304 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0110 | |
Felicia Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1591 Taos Rd, Pueblo, CO 81006 Phone: 719-545-2746 | |
Jacob Tyler Doering, MS, LPC, NCC, CRC Counselor Medicare: May Accept Medicare Assignments Practice Location: 327 Colorado Ave, Pueblo, CO 81004 Phone: 719-948-7120 | |
Stanley Schleifer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1304 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0119 |