| Susan C Merrill, LCSW | |
| 
					631 Birch St Unit D, Windsor, CO 80550-5053  | |
| (970) 232-1999 | |
| Not Available | 
| Full Name | Susan C Merrill | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 631 Birch St Unit D, Windsor, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1538738653 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CSW09926992 (Colorado) | Primary | 
| Entity Name | Sondermind Provider Network Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Susan C Merrill, LCSW 140 Bayside Cir, Windsor, CO 80550-6173 Ph: () -  | Susan C Merrill, LCSW 631 Birch St Unit D, Windsor, CO 80550-5053 Ph: (970) 232-1999  | 
Madison Farrell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1204 W Ash St Unit A, Windsor, CO 80550 Phone: 970-310-3406  | |
Danielle K Matra, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1170 W Ash St Ste 100, Windsor, CO 80550 Phone: 970-347-2120 Fax: 970-300-3127  | |
Mrs. Jacque Ann Ristau, M.S. Counselor Medicare: Medicare Enrolled Practice Location: 1200 W Ash St, Ste D, Windsor, CO 80550 Phone: 970-222-7249 Fax: 970-267-0830  | |
Joanne S Rupert, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 28311 County Road 15, Windsor, CO 80550 Phone: 970-222-4193 Fax: 970-416-1119  | |
Alexandra Martin, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1204 W Ash St Unit A, Windsor, CO 80550 Phone: 970-310-3406  | |
Brooke Bloker,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1226 W Ash St Unit C, Windsor, CO 80550 Phone: 319-939-7558 Fax: 319-939-7558  | |
Rachel Rogers, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1809 Cherry Blossom Dr Apt 202, Windsor, CO 80550 Phone: 815-238-4430  |