| Crossroads At Grandview | |
|
150 Mercury Village Dr Durango CO 81301-8955 | |
| (970) 335-2342 | |
| Not Available |
| Full Name | Crossroads At Grandview |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 Mercury Village Dr, Durango, Colorado |
| Authorized Official Name and Position | Shelly Burke (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 0000000000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads At Grandview Po Box 1328 Durango CO 81302-1328 Ph: (970) 335-2238 | Crossroads At Grandview 150 Mercury Village Dr Durango CO 81301-8955 Ph: (970) 335-2342 |
| NPI Number | 1932192598 |
|---|---|
| Provider Enumeration Date | 08/29/2005 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 9133011802 |
|---|---|
| Medicare Enrollment ID | O20040326001177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932192598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | John S Lavengood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619020435 PECOS PAC ID: 0446157366 Enrollment ID: I20040107000960 |
| Provider Name | William J Karls |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770524183 PECOS PAC ID: 5799671913 Enrollment ID: I20040225000367 |
| Provider Name | Luke Casias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558359729 PECOS PAC ID: 3678552296 Enrollment ID: I20040716001058 |
| Provider Name | Paul A Mattox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821105644 PECOS PAC ID: 6002841020 Enrollment ID: I20050928001136 |
| Provider Name | Jill Rimmey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649222738 PECOS PAC ID: 1658376934 Enrollment ID: I20060919000600 |
| Provider Name | Kristin M Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184701799 PECOS PAC ID: 4587607114 Enrollment ID: I20061211000112 |
| Provider Name | Lynette M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457369688 PECOS PAC ID: 0345339834 Enrollment ID: I20071207000152 |
| Provider Name | Stephanie K Allred |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710171046 PECOS PAC ID: 4981769205 Enrollment ID: I20090219000324 |
| Provider Name | Fredi S Prochoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023331477 PECOS PAC ID: 9830229913 Enrollment ID: I20100616000599 |
| Provider Name | Anita Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629295894 PECOS PAC ID: 2163548579 Enrollment ID: I20100922001243 |
| Provider Name | Patti L Snodgrass |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033295894 PECOS PAC ID: 6305943622 Enrollment ID: I20110415000466 |
| Provider Name | Lara C Ristow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801027388 PECOS PAC ID: 0042486367 Enrollment ID: I20120106000736 |
| Provider Name | Sarah M Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235336892 PECOS PAC ID: 5991953143 Enrollment ID: I20120913000617 |
| Provider Name | William Mckeon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962602094 PECOS PAC ID: 2365520608 Enrollment ID: I20121018000308 |
| Provider Name | Sherry L Ketner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477892321 PECOS PAC ID: 0749429157 Enrollment ID: I20130615000025 |
| Provider Name | Marcia Newth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396085171 PECOS PAC ID: 2264671551 Enrollment ID: I20130618000143 |
| Provider Name | Elizabeth E Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861749426 PECOS PAC ID: 4082848080 Enrollment ID: I20131007000406 |
| Provider Name | Caitlin M Prescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346539764 PECOS PAC ID: 1850526492 Enrollment ID: I20131106001657 |
| Provider Name | Whitney Silva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811264302 PECOS PAC ID: 7618104332 Enrollment ID: I20131228000165 |
| Provider Name | Brian P Ensign |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902186182 PECOS PAC ID: 9638392863 Enrollment ID: I20140515001659 |
| Provider Name | Richard M Jacobsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306174156 PECOS PAC ID: 6507189602 Enrollment ID: I20141222001287 |
| Provider Name | Shannon Ferrari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043441348 PECOS PAC ID: 1254659436 Enrollment ID: I20150420001364 |
| Provider Name | Kathryn S Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245670850 PECOS PAC ID: 1456652288 Enrollment ID: I20151221000093 |
| Provider Name | Dena L Ridenour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750452207 PECOS PAC ID: 4183671225 Enrollment ID: I20160223000550 |
| Provider Name | Olive A Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306219258 PECOS PAC ID: 5092011619 Enrollment ID: I20160308002309 |
| Provider Name | Jennifer L Rhoda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891972170 PECOS PAC ID: 2466741319 Enrollment ID: I20160516001549 |
| Provider Name | April Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316212566 PECOS PAC ID: 9739339490 Enrollment ID: I20160525002350 |
| Provider Name | Robert L Outenreath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598865610 PECOS PAC ID: 2163669938 Enrollment ID: I20160609002050 |
| Provider Name | Jeremiah C Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134519317 PECOS PAC ID: 8820378912 Enrollment ID: I20161207000534 |
| Provider Name | Brittany Brumfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518260488 PECOS PAC ID: 9133400872 Enrollment ID: I20170111002367 |
| Provider Name | Peggy J Bayless |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407252778 PECOS PAC ID: 4486937729 Enrollment ID: I20170210000507 |
| Provider Name | Eliza J Gass |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104350164 PECOS PAC ID: 2062799596 Enrollment ID: I20170510000280 |
| Provider Name | Susan T Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255477196 PECOS PAC ID: 2264536168 Enrollment ID: I20170519000532 |
| Provider Name | John Pearsall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407890916 PECOS PAC ID: 3476513797 Enrollment ID: I20170817000223 |
| Provider Name | Sarah K Alsgaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285154104 PECOS PAC ID: 4385918143 Enrollment ID: I20170919000602 |
| Provider Name | Anne Dizenzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326429267 PECOS PAC ID: 8022376532 Enrollment ID: I20171211000706 |
| Provider Name | David E Drake |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245299395 PECOS PAC ID: 8527078807 Enrollment ID: I20180206001713 |
| Provider Name | Michael O Esplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306220330 PECOS PAC ID: 3173823358 Enrollment ID: I20180207000329 |
| Provider Name | Aaron C Montano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801280201 PECOS PAC ID: 8022378637 Enrollment ID: I20180712000203 |
| Provider Name | Justin M Possner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689834046 PECOS PAC ID: 1658406038 Enrollment ID: I20180713000064 |
| Provider Name | Justine M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417360637 PECOS PAC ID: 2264653088 Enrollment ID: I20180815002614 |
| Provider Name | Tonya Junod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235149444 PECOS PAC ID: 5092879775 Enrollment ID: I20180910002766 |
| Provider Name | Bridget Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609319995 PECOS PAC ID: 6901157353 Enrollment ID: I20180924001772 |
| Provider Name | Jennifer Lynn Berkman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033301494 PECOS PAC ID: 2567714470 Enrollment ID: I20181003003274 |
| Provider Name | Barton Elgin Giessel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578616504 PECOS PAC ID: 3476511023 Enrollment ID: I20181101002190 |
| Provider Name | Sylvia A Schmechel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710431036 PECOS PAC ID: 7618220864 Enrollment ID: I20181105003224 |
| Provider Name | Julie A Frank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619428117 PECOS PAC ID: 5294079984 Enrollment ID: I20181206002516 |
| Provider Name | Jeanne Marie Marotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932565967 PECOS PAC ID: 6507163466 Enrollment ID: I20190109002922 |
| Provider Name | Sonya Brophy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558905489 PECOS PAC ID: 3476986290 Enrollment ID: I20191210001361 |
| Provider Name | Kirstin Thoreen Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669942041 PECOS PAC ID: 1557795911 Enrollment ID: I20191218002244 |
| Provider Name | Kimberly Renee Ayres |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669473161 PECOS PAC ID: 0941296321 Enrollment ID: I20200128001429 |
| Provider Name | Anthony Braun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285182212 PECOS PAC ID: 4587094347 Enrollment ID: I20200417001711 |
| Provider Name | Paul K Meeker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912022435 PECOS PAC ID: 7719302926 Enrollment ID: I20200805002054 |
| Provider Name | Teagan Nicole Votaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699382903 PECOS PAC ID: 1254746373 Enrollment ID: I20210222002778 |
| Provider Name | Caitlin Marie Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891264677 PECOS PAC ID: 1052727849 Enrollment ID: I20210302001859 |
| Provider Name | Karen Marie Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063980977 PECOS PAC ID: 8224445192 Enrollment ID: I20210322002210 |
| Provider Name | Emily Deyo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164033841 PECOS PAC ID: 7315354107 Enrollment ID: I20210323000936 |
| Provider Name | Jessica M Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255609459 PECOS PAC ID: 1153647938 Enrollment ID: I20210324001662 |
| Provider Name | Melissa Jane Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689268187 PECOS PAC ID: 5890103345 Enrollment ID: I20210421001863 |
| Provider Name | Laura Mckeon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285185785 PECOS PAC ID: 0547669681 Enrollment ID: I20210524000413 |
| Provider Name | Morgan Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821634965 PECOS PAC ID: 5496155806 Enrollment ID: I20210607001319 |
| Provider Name | Leah Kay Huddleston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578134508 PECOS PAC ID: 3577966100 Enrollment ID: I20210720003071 |
| Provider Name | Laura Christina De La Garza-gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922679646 PECOS PAC ID: 2769887561 Enrollment ID: I20210817002031 |
| Provider Name | Jennifer Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609358712 PECOS PAC ID: 3577969740 Enrollment ID: I20210914001081 |
| Provider Name | Vanessa F Dewitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689345753 PECOS PAC ID: 8921490020 Enrollment ID: I20220124000704 |
| Provider Name | Zane Wesley Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043894363 PECOS PAC ID: 8224422308 Enrollment ID: I20220307001644 |
| Provider Name | Kimberly Mae Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376189860 PECOS PAC ID: 7113312455 Enrollment ID: I20220323000867 |
| Provider Name | David Ryan |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1134130131 PECOS PAC ID: 4486693215 Enrollment ID: I20220404001819 |
| Provider Name | Jason Ross Immertreu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740662642 PECOS PAC ID: 0941599922 Enrollment ID: I20220512001226 |
| Provider Name | Shawna Lea Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922767060 PECOS PAC ID: 8820477219 Enrollment ID: I20220615000469 |
| Provider Name | Christa Marie Aslanian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649923947 PECOS PAC ID: 5890174205 Enrollment ID: I20220615000993 |
| Provider Name | Hannah Catherine Mchargue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043715014 PECOS PAC ID: 9931589850 Enrollment ID: I20220708001701 |
| Provider Name | Laura Elizabeth Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073555678 PECOS PAC ID: 5092739078 Enrollment ID: I20220720003118 |
| Provider Name | Nya E Greenstone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962976001 PECOS PAC ID: 2668853433 Enrollment ID: I20220726000623 |
| Provider Name | Eve Nicole Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023633815 PECOS PAC ID: 1254713456 Enrollment ID: I20220804002449 |
| Provider Name | Sheena Marie Spanskie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275179657 PECOS PAC ID: 6204238298 Enrollment ID: I20220816003790 |
| Provider Name | Summer Jordan Damico |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063065738 PECOS PAC ID: 5193056604 Enrollment ID: I20220818000775 |
| Provider Name | Chelsea Steck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942806971 PECOS PAC ID: 8820471097 Enrollment ID: I20220822000225 |
| Provider Name | Michele Marie Frederick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891247243 PECOS PAC ID: 3870976970 Enrollment ID: I20220823002429 |
| Provider Name | Matthew J Teague |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679060271 PECOS PAC ID: 7618351826 Enrollment ID: I20220907000026 |
| Provider Name | Jonathan Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235303991 PECOS PAC ID: 0749503720 Enrollment ID: I20220913004216 |
| Provider Name | Palak Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730670282 PECOS PAC ID: 3274898648 Enrollment ID: I20221011002647 |
| Provider Name | Angel Morningstar Hitti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508279498 PECOS PAC ID: 8820466006 Enrollment ID: I20221118001063 |
| Provider Name | William Jacob Brown |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1801404256 PECOS PAC ID: 0749659027 Enrollment ID: I20221208000630 |
| Provider Name | Mattie Lynn Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174194948 PECOS PAC ID: 0143694893 Enrollment ID: I20230320000826 |
| Provider Name | Lisa Ann Messerli |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295917219 PECOS PAC ID: 2264515766 Enrollment ID: I20230425001554 |
| Provider Name | Jillian Grzeskiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265170112 PECOS PAC ID: 6800270695 Enrollment ID: I20230426003260 |
| Provider Name | Leighellen Bane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093300212 PECOS PAC ID: 6406212505 Enrollment ID: I20230516001247 |
| Provider Name | Whitney Mick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164133914 PECOS PAC ID: 7315304748 Enrollment ID: I20230531000493 |
| Provider Name | Rachel Rose Lloyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205357787 PECOS PAC ID: 9638536352 Enrollment ID: I20230611000201 |
| Provider Name | Alexander Van Kruysman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417692880 PECOS PAC ID: 2264811140 Enrollment ID: I20230615000206 |
| Provider Name | Monica Rodgers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346878139 PECOS PAC ID: 8022408111 Enrollment ID: I20230821001806 |
| Provider Name | Margaret Deaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861071342 PECOS PAC ID: 6204299852 Enrollment ID: I20230829004066 |
| Provider Name | Steven Girty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669050662 PECOS PAC ID: 6608230420 Enrollment ID: I20230913000837 |
| Provider Name | Kristin M Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902532401 PECOS PAC ID: 7315394863 Enrollment ID: I20231106002211 |
| Provider Name | Kathleen Farley Burnell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184072399 PECOS PAC ID: 3375991698 Enrollment ID: I20231128001087 |
| Provider Name | Alba Dagny Lodowski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770792574 PECOS PAC ID: 4385092444 Enrollment ID: I20231129003290 |
| Provider Name | Jordan Wildman Fletcher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396095006 PECOS PAC ID: 5890143846 Enrollment ID: I20231130003346 |
| Provider Name | Jenna Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467005553 PECOS PAC ID: 8022466093 Enrollment ID: I20231130004064 |
| Provider Name | Janet Anne Switzer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609104009 PECOS PAC ID: 4486003001 Enrollment ID: I20231207003730 |
| Provider Name | Vanessa Sybert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124807185 PECOS PAC ID: 6709235328 Enrollment ID: I20231207003896 |
| Provider Name | Samantha Peel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518372549 PECOS PAC ID: 0143679654 Enrollment ID: I20231209000050 |
| Provider Name | Molly Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013313428 PECOS PAC ID: 5193174555 Enrollment ID: I20231211001086 |
| Provider Name | Matthew R Sena |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023409828 PECOS PAC ID: 6002265402 Enrollment ID: I20231211002443 |
| Provider Name | Adriana Caputo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124359641 PECOS PAC ID: 2668821927 Enrollment ID: I20231212001530 |
| Provider Name | Benjamin Drew Sanders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063041861 PECOS PAC ID: 3476902784 Enrollment ID: I20231212003208 |
| Provider Name | Taylor Paige Messina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083122261 PECOS PAC ID: 8022467208 Enrollment ID: I20231213001836 |
| Provider Name | Casie C Lamunyon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952592206 PECOS PAC ID: 7911356191 Enrollment ID: I20231213001896 |
| Provider Name | Rebecca Lister |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134598105 PECOS PAC ID: 8921457110 Enrollment ID: I20231213002294 |
| Provider Name | Susan Noyes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265987317 PECOS PAC ID: 9335598523 Enrollment ID: I20231213002444 |
| Provider Name | Patricia K Loveland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558609867 PECOS PAC ID: 4981053196 Enrollment ID: I20231213003409 |
| Provider Name | Elizabeth Marino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104313758 PECOS PAC ID: 7416306568 Enrollment ID: I20231214000856 |
| Provider Name | Mark Maness |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750826780 PECOS PAC ID: 8628427739 Enrollment ID: I20231214003460 |
| Provider Name | Stephen Floyd Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730402462 PECOS PAC ID: 0648629675 Enrollment ID: I20231215000272 |
| Provider Name | Josiah S Harlan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649597493 PECOS PAC ID: 1052760055 Enrollment ID: I20231215003293 |
| Provider Name | Lori Ann Hassanzadeh-aski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134853625 PECOS PAC ID: 7214386218 Enrollment ID: I20231215003364 |
| Provider Name | William Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720575871 PECOS PAC ID: 0749678522 Enrollment ID: I20231218003637 |
| Provider Name | Mielle Burch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649630344 PECOS PAC ID: 6608226535 Enrollment ID: I20231219001224 |
| Provider Name | Sarah E Gleason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538878905 PECOS PAC ID: 4082064936 Enrollment ID: I20231219001992 |
| Provider Name | Linda Marie Sanchez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114435849 PECOS PAC ID: 3375993181 Enrollment ID: I20231220000406 |
| Provider Name | Courtney Dickinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598206963 PECOS PAC ID: 8527418912 Enrollment ID: I20231227002652 |
| Provider Name | Caina R Miller-wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053189290 PECOS PAC ID: 4284085879 Enrollment ID: I20240108005420 |
| Provider Name | Keliana Tiner Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740899814 PECOS PAC ID: 0941651582 Enrollment ID: I20240109001096 |
| Provider Name | Amanda Joan Blacow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891562724 PECOS PAC ID: 8729439260 Enrollment ID: I20240109001579 |
| Provider Name | Amanda Frances Burgess |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932836210 PECOS PAC ID: 4486005725 Enrollment ID: I20240110004738 |
Twin Dreams Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Cherry Gulch Rd, Durango, CO 81301 Phone: 970-946-0992 | |
Janet M Wolf Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Florida Rd Unit 11, Durango, CO 81301 Phone: 970-769-1967 | |
Lindsay Stonecash-bauer Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2530 Colorado Ave Unit 2a, Durango, CO 81301 Phone: 970-946-8002 | |
D E Schenk Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 W 14th Street, Durango, CO 87301 Phone: 970-385-7933 Fax: 970-385-7933 | |
Jjlpcounselor Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2508 Delwood Ave, Durango, CO 81301 Phone: 970-946-3709 | |
Lisa Turcott-gutt Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 County Road 250 Unit 8, Durango, CO 81301 Phone: 970-426-8300 | |
Terry Tyler Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2243 Main Ave, Suite 3a, Durango, CO 81301 Phone: 970-375-6224 Fax: 970-259-2341 |