| Thomas H Lange, LPC, MA | |
|
114 Bristlecone Dr, Fort Collins, CO 80524-2031 | |
| (970) 494-4200 | |
| Not Available |
| Full Name | Thomas H Lange |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 114 Bristlecone Dr, Fort Collins, 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 |
|---|---|---|---|
| 1639575129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC.0013482 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia Memorial Hospital | 5092709410 | 171 |
| Entity Name | Columbia Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083639587 PECOS PAC ID: 5092709410 Enrollment ID: O20040409000109 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas H Lange, LPC, MA 4856 Innovation Dr Ste B, Fort Collins, CO 80525-5540 Ph: (970) 494-4200 | Thomas H Lange, LPC, MA 114 Bristlecone Dr, Fort Collins, CO 80524-2031 Ph: (970) 494-4200 |
Craig Mcfadden, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4601 Corbett Dr, Fort Collins, CO 80528 Phone: 970-207-4800 Fax: 970-207-4805 | |
Caroline Catherine Bunn, LPC, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 383 W Drake Rd Ste 102, Fort Collins, CO 80526 Phone: 970-494-4200 | |
Katherine Macdougall, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Centre Ave, Fort Collins, CO 80526 Phone: 970-494-4200 Fax: 844-270-1824 | |
Velma G Gallegos, CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 W Oak St, Fort Collins, CO 80521 Phone: 970-494-4300 | |
Mrs. Kayla Elizabeth Poulson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 W Mulberry St Ste 101, Fort Collins, CO 80521 Phone: 970-530-2887 | |
Monica Rowell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4115 Boardwalk Dr, Suite 100, Fort Collins, CO 80525 Phone: 970-493-4580 | |
Stephanie Robyn Saxe, MA, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 215 W Oak St Fl 4, Fort Collins, CO 80521 Phone: 970-310-3406 |