| Axis Integrated Mental Health | |
|
1444 S Potomac St Ste 220 Aurora CO 80012-4509 | |
| (720) 400-7025 | |
| (720) 400-7049 |
| Full Name | Axis Integrated Mental Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1444 S Potomac St Ste 220, Aurora, Colorado |
| Authorized Official Name and Position | Christopher James Perez (CEO, CLINICAL DIRECTOR) |
| Authorized Official Contact | 7207204000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Axis Integrated Mental Health 1444 S Potomac St Ste 220 Aurora CO 80012-4509 Ph: (720) 400-7025 | Axis Integrated Mental Health 1444 S Potomac St Ste 220 Aurora CO 80012-4509 Ph: (720) 400-7025 |
| NPI Number | 1669098778 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Medicare PECOS PAC ID | 4183048754 |
|---|---|
| Medicare Enrollment ID | O20200716001146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669098778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (NU) | Primary |
| Provider Name | Kartiki Churi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619137189 PECOS PAC ID: 2769630243 Enrollment ID: I20120907000700 |
| Provider Name | Roderick S Obrien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487686325 PECOS PAC ID: 8224282504 Enrollment ID: I20130214000336 |
| Provider Name | Frances B Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992078232 PECOS PAC ID: 7416170238 Enrollment ID: I20140523001931 |
| Provider Name | Ebony a Villarreal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043691314 PECOS PAC ID: 7517272057 Enrollment ID: I20150813009790 |
| Provider Name | Tiffany Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548864754 PECOS PAC ID: 3173924990 Enrollment ID: I20210630000810 |
| Provider Name | Samrawit Dejene Mersha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477201572 PECOS PAC ID: 2769836667 Enrollment ID: I20230926003732 |
| Provider Name | Heather Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396941894 PECOS PAC ID: 8022027846 Enrollment ID: I20231128003483 |
| Provider Name | Laura Jane Landis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619983269 PECOS PAC ID: 3779934526 Enrollment ID: I20240105003380 |
| Provider Name | Chandra Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295483410 PECOS PAC ID: 8426401555 Enrollment ID: I20240125001006 |
| Provider Name | Katerina Anne Krieger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962139253 PECOS PAC ID: 6103264668 Enrollment ID: I20240402004483 |
| Provider Name | Desiree N Nunez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366117061 PECOS PAC ID: 6507305133 Enrollment ID: I20240828000079 |
| Provider Name | Heather Markham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306651047 PECOS PAC ID: 7315469608 Enrollment ID: I20250317000307 |
| Provider Name | Marina Pitsilos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952981912 PECOS PAC ID: 2668908450 Enrollment ID: I20251030000608 |
| Provider Name | Ross Van Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023727567 PECOS PAC ID: 0840657763 Enrollment ID: I20251216004819 |
| Provider Name | Elinor Joyce Obuckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750623419 PECOS PAC ID: 9638658958 Enrollment ID: I20260206003490 |
| Provider Name | Kayla Sharpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598367260 PECOS PAC ID: 3476033119 Enrollment ID: I20260212003517 |
| Provider Name | Benjamin Byron Egbers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912542861 PECOS PAC ID: 0143703819 Enrollment ID: I20260311000640 |
| Provider Name | Lisanne Johnson Mazzola |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396074514 PECOS PAC ID: 7113490020 Enrollment ID: I20260623001318 |
| Provider Name | Sarah Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760221022 PECOS PAC ID: 6901371830 Enrollment ID: I20260624002098 |
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