| Samantha Walsh, LPC | |
|
12169 Sheridan Blvd, Broomfield, CO 80020-2459 | |
| (303) 603-9400 | |
| Not Available |
| Full Name | Samantha Walsh |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 12169 Sheridan Blvd, Broomfield, 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 |
|---|---|---|---|
| 1124716956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC.0022242 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Medical Group Denver Llc | 0840513552 | 571 |
| Entity Name | Intermountain Medical Group Denver LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Walsh, LPC 12169 Sheridan Blvd, Broomfield, CO 80020-2459 Ph: Not Available | Samantha Walsh, LPC 12169 Sheridan Blvd, Broomfield, CO 80020-2459 Ph: (303) 603-9400 |
Mrs. Shirell Renee White, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2605 W 144th Ave, Broomfield, CO 80023 Phone: 720-588-9190 |
Kevala Kenna, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17025 Melody Dr, Broomfield, CO 80023 Phone: 720-296-0257 |
Brandi Gillen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Interlocken Blvd Ste 100, Broomfield, CO 80021 Phone: 720-773-8727 |
Wendy Barrios, LMT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6363 W 120th Ave Ste 310, Broomfield, CO 80020 Phone: 720-768-3381 |
Tracy Abel, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3231 W 134th Ave, Broomfield, CO 80020 Phone: 720-515-1622 |
Grae Ferrer Roda, Counselor Medicare: May Accept Medicare Assignments Practice Location: 125 Breckenridge Trl, Broomfield, CO 80020 Phone: 720-840-0191 |
Carolyn Ann Stubbs, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Burbank St, Broomfield, CO 80020 Phone: 720-583-4182 |