| Alliance Mental Health - Colorado Llc | |
|
2601 S Lemay Ave Unit 41 Fort Collins CO 80525-2297 | |
| (303) 928-1051 | |
| Not Available |
| Full Name | Alliance Mental Health - Colorado Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2601 S Lemay Ave Unit 41, Fort Collins, Colorado |
| Authorized Official Name and Position | Ron Lobato (CEO) |
| Authorized Official Contact | 3039281051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Mental Health - Colorado Llc Po Box 12192 Denver CO 80212-0192 Ph: (303) 928-1051 | Alliance Mental Health - Colorado Llc 2601 S Lemay Ave Unit 41 Fort Collins CO 80525-2297 Ph: (303) 928-1051 |
| NPI Number | 1770247702 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 11/06/2022 |
| Certification Date | 11/06/2022 |
| Medicare PECOS PAC ID | 6507211075 |
|---|---|
| Medicare Enrollment ID | O20231018003274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770247702 | NPI | - | NPPES |
| 9000195834 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lauren Kester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619265634 PECOS PAC ID: 3971934977 Enrollment ID: I20231020000811 |
| Provider Name | Rita Giglio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811504038 PECOS PAC ID: 6305258344 Enrollment ID: I20231023000360 |
| Provider Name | Hailey S Walsh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023660222 PECOS PAC ID: 0840647590 Enrollment ID: I20231117000313 |
| Provider Name | Carol Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801166772 PECOS PAC ID: 9436507159 Enrollment ID: I20231118000150 |
| Provider Name | Candice Michelle Morrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780904318 PECOS PAC ID: 8224486931 Enrollment ID: I20231120001511 |
| Provider Name | Ann Ellen Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720412455 PECOS PAC ID: 7517315054 Enrollment ID: I20231122001530 |
| Provider Name | Bridget Everett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558911917 PECOS PAC ID: 7911355292 Enrollment ID: I20231127002727 |
| Provider Name | William Maynard Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609918168 PECOS PAC ID: 6709207301 Enrollment ID: I20231128000273 |
| Provider Name | Jennifer Nicole French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477922086 PECOS PAC ID: 8022366269 Enrollment ID: I20231130003420 |
| Provider Name | James Walls |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013316314 PECOS PAC ID: 1456709187 Enrollment ID: I20231202000465 |
| Provider Name | Desiree Potter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881066587 PECOS PAC ID: 3779932405 Enrollment ID: I20231208000070 |
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Alchemy Counseling, Consultation, And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Mathews St Ste 300, Fort Collins, CO 80524 Phone: 970-217-7796 | |
Jill A. Kuhn, Ph.d. L.l.c Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 323 W Drake Rd, Suite 220, Fort Collins, CO 80526 Phone: 970-219-9206 | |
Monica Rowell Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4115 Boardwalk Dr, Suite 100, Fort Collins, CO 80525 Phone: 970-493-4580 | |
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