| Centennial Mental Health Center, Inc. | |
|
211 W Main St Sterling CO 80751-3168 | |
| (970) 522-4549 | |
| (970) 522-6898 |
| Full Name | Centennial Mental Health Center, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 211 W Main St, Sterling, Colorado |
| Authorized Official Name and Position | Sheri Davidson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9705224549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Mental Health Center, Inc. 211 W Main St Sterling CO 80751-3168 Ph: (970) 522-4549 | Centennial Mental Health Center, Inc. 211 W Main St Sterling CO 80751-3168 Ph: (970) 522-4549 |
| NPI Number | 1861479677 |
|---|---|
| Provider Enumeration Date | 12/22/2005 |
| Last Update Date | 03/01/2024 |
| Certification Date | 03/01/2024 |
| Medicare PECOS PAC ID | 5193717213 |
|---|---|
| Medicare Enrollment ID | O20040331000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861479677 | NPI | - | NPPES |
| 04110094 | Medicaid | CO | |
| 9000141929 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 0356 (Colorado) | Primary |
| Provider Name | Patricia Payne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497720890 PECOS PAC ID: 8729049861 Enrollment ID: I20050404000335 |
| Provider Name | Daniel D Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518116839 PECOS PAC ID: 2961541495 Enrollment ID: I20091123000438 |
| Provider Name | Alicia H Jakomait |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477789592 PECOS PAC ID: 5890965727 Enrollment ID: I20110831000508 |
| Provider Name | Robert Vadnal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669448072 PECOS PAC ID: 7012219231 Enrollment ID: I20160105002435 |
| Provider Name | Aaron T Shea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275835506 PECOS PAC ID: 2365736824 Enrollment ID: I20160805000519 |
| Provider Name | Laine Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154636157 PECOS PAC ID: 9133405814 Enrollment ID: I20170710002227 |
| Provider Name | Ashley Elizabeth Weycer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306242516 PECOS PAC ID: 6406188515 Enrollment ID: I20191022003541 |
| Provider Name | Leah Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932618402 PECOS PAC ID: 2567899925 Enrollment ID: I20200224002557 |
| Provider Name | Jackie Barton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851881502 PECOS PAC ID: 7810303344 Enrollment ID: I20210309000984 |
| Provider Name | Briana Gauvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184387904 PECOS PAC ID: 2264896372 Enrollment ID: I20230907003224 |
| Provider Name | Nancy Lou Christian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750402970 PECOS PAC ID: 9739537671 Enrollment ID: I20231202000221 |
| Provider Name | Andrew Denecke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730559295 PECOS PAC ID: 0446608301 Enrollment ID: I20231204000257 |
| Provider Name | Bonnie Holzschuh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629420930 PECOS PAC ID: 5496104101 Enrollment ID: I20231206003515 |
| Provider Name | Adam Jeffryes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477160885 PECOS PAC ID: 8820447196 Enrollment ID: I20231212001647 |
| Provider Name | John Duhamel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184979858 PECOS PAC ID: 1557710837 Enrollment ID: I20231212002068 |
| Provider Name | Joseph Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982312989 PECOS PAC ID: 0345699625 Enrollment ID: I20231212002180 |
| Provider Name | Melissa Kallweit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053713297 PECOS PAC ID: 0648629931 Enrollment ID: I20231212002465 |
| Provider Name | Cynthia Ann Audia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205387800 PECOS PAC ID: 0547619660 Enrollment ID: I20231213004247 |
| Provider Name | Alexandra Rita Montoya |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366107229 PECOS PAC ID: 6901255884 Enrollment ID: I20231218003431 |
| Provider Name | Sydney Terrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578221123 PECOS PAC ID: 4587015441 Enrollment ID: I20240104004835 |
| Provider Name | Regina Ann Dardanes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801053251 PECOS PAC ID: 5597116376 Enrollment ID: I20240105001031 |
| Provider Name | Shayla Honebein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740942804 PECOS PAC ID: 1658722970 Enrollment ID: I20240110003984 |
| Provider Name | Laura Brum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992122717 PECOS PAC ID: 4587015763 Enrollment ID: I20240111004803 |
| Provider Name | Pamela Renee Craig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457543597 PECOS PAC ID: 1759732936 Enrollment ID: I20240111004828 |
| Provider Name | Esther Camacho |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134578651 PECOS PAC ID: 2365894540 Enrollment ID: I20240124000337 |
Community Behavioral Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 S Division Ave, Sterling, CO 80751 Phone: 970-380-7885 Fax: 888-719-5863 | |
Centennial Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 W Main St, Sterling, CO 80751 Phone: 970-522-4549 Fax: 970-522-9544 | |
Centennial Mental Helath Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 W Main St, Sterling, CO 80751 Phone: 970-522-4549 Fax: 970-522-6898 | |
Centennial Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 N 4th St, Sterling, CO 80751 Phone: 970-522-4549 | |
Behavioral Health Assessors Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 S Division Ave, Sterling, CO 80751 Phone: 806-853-8611 Fax: 888-719-5863 | |
Hope House Serving Northeastern Colorado Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 S Division Ave, Sterling, CO 80751 Phone: 970-380-7885 Fax: 888-719-5863 | |
Centennial Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 N 4th St, Sterling, CO 80751 Phone: 970-522-4549 |