| 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) | () | Primary |
| Provider Name | William J Karls |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770524183 PECOS PAC ID: 5799671913 Enrollment ID: I20040225000367 |
| Provider Name | Jill Rimmey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649222738 PECOS PAC ID: 1658376934 Enrollment ID: I20060919000600 |
| Provider Name | Fredi S Prochoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023331477 PECOS PAC ID: 9830229913 Enrollment ID: I20100616000599 |
| Provider Name | Patti L Snodgrass |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033295894 PECOS PAC ID: 6305943622 Enrollment ID: I20110415000466 |
| Provider Name | David S Shaeffer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467657817 PECOS PAC ID: 4183893837 Enrollment ID: I20110815000095 |
| Provider Name | Amber C Reiss-holt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386678159 PECOS PAC ID: 6800821372 Enrollment ID: I20110915000413 |
| Provider Name | Donald E Kring |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285628016 PECOS PAC ID: 6305821331 Enrollment ID: I20121002000793 |
| Provider Name | Sherry L Ketner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477892321 PECOS PAC ID: 0749429157 Enrollment ID: I20130615000025 |
| 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 | 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 | Michael O Esplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306220330 PECOS PAC ID: 3173823358 Enrollment ID: I20180207000329 |
| Provider Name | Kaitlin D Wert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285136515 PECOS PAC ID: 2769737998 Enrollment ID: I20180612001563 |
| Provider Name | Aaron C Montano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801280201 PECOS PAC ID: 8022378637 Enrollment ID: I20180712000203 |
| Provider Name | Michelle S. Janowsky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093188773 PECOS PAC ID: 4587969324 Enrollment ID: I20180823001411 |
| Provider Name | Barton Elgin Giessel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578616504 PECOS PAC ID: 3476511023 Enrollment ID: I20181101002190 |
| Provider Name | Kirstin Thoreen Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669942041 PECOS PAC ID: 1557795911 Enrollment ID: I20191218002244 |
| Provider Name | Hanna R Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619500097 PECOS PAC ID: 7810325594 Enrollment ID: I20200710001407 |
| Provider Name | Joy a Norris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255776670 PECOS PAC ID: 7214215334 Enrollment ID: I20201120000593 |
| Provider Name | Michael Gower |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265660104 PECOS PAC ID: 6709014541 Enrollment ID: I20210331000535 |
| Provider Name | Jason Ross Immertreu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740662642 PECOS PAC ID: 0941599922 Enrollment ID: I20220512001226 |
| 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 | Summer Jordan Damico |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063065738 PECOS PAC ID: 5193056604 Enrollment ID: I20220818000775 |
| 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 | William Jacob Brown |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1801404256 PECOS PAC ID: 0749659027 Enrollment ID: I20221208000630 |
| Provider Name | Brenda Hubbard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467188359 PECOS PAC ID: 9739551060 Enrollment ID: I20230214001153 |
| 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 | Alexander Van Kruysman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417692880 PECOS PAC ID: 2264811140 Enrollment ID: I20230615000206 |
| Provider Name | Steven Girty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669050662 PECOS PAC ID: 6608230420 Enrollment ID: I20230913000837 |
| Provider Name | Stephanie Shannon Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740067305 PECOS PAC ID: 9830545102 Enrollment ID: I20231023001368 |
| 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 | 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 | 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 | 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 | Lori Ann Hassanzadeh-aski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134853625 PECOS PAC ID: 7214386218 Enrollment ID: I20231215003364 |
| Provider Name | Mielle Bottomly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649630344 PECOS PAC ID: 6608226535 Enrollment ID: I20231219001224 |
| 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 |
| Provider Name | Ashley Iverson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669985297 PECOS PAC ID: 2163762535 Enrollment ID: I20240321002246 |
| Provider Name | Linda Fitts-liberman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699543017 PECOS PAC ID: 5698211266 Enrollment ID: I20240719002028 |
| Provider Name | Kelly Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912505603 PECOS PAC ID: 7416493317 Enrollment ID: I20240727000731 |
| Provider Name | Blair Swearingen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396588315 PECOS PAC ID: 8729526108 Enrollment ID: I20240815004697 |
| Provider Name | Kristine a Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841038460 PECOS PAC ID: 2961941539 Enrollment ID: I20240827002595 |
| Provider Name | Jesse Villanueba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235856162 PECOS PAC ID: 1153854252 Enrollment ID: I20241029000023 |
| Provider Name | Paige Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821740812 PECOS PAC ID: 1254867765 Enrollment ID: I20241206003448 |
| Provider Name | Benjamin Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407517337 PECOS PAC ID: 3971031972 Enrollment ID: I20250103001271 |
| Provider Name | Ana Cecilia Siller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932927225 PECOS PAC ID: 2668904806 Enrollment ID: I20250731001351 |
| Provider Name | Laura Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043590573 PECOS PAC ID: 7719495688 Enrollment ID: I20250801002777 |
| Provider Name | Mia L Frank |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174346506 PECOS PAC ID: 7214445675 Enrollment ID: I20250806000221 |
| Provider Name | Trevor W Entzminger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811765316 PECOS PAC ID: 2860991833 Enrollment ID: I20250817000067 |
| Provider Name | Taylor Gillis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588313092 PECOS PAC ID: 0547615569 Enrollment ID: I20250917004259 |
| Provider Name | Katherine Wagner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508668823 PECOS PAC ID: 9234633561 Enrollment ID: I20250918003108 |
| Provider Name | Heidi Mcmillan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457371742 PECOS PAC ID: 8426069386 Enrollment ID: I20250922003698 |
| Provider Name | Raleigh Ramos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912604190 PECOS PAC ID: 8325543176 Enrollment ID: I20250924000528 |
| Provider Name | Catherine Hilliard White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346098811 PECOS PAC ID: 4385140581 Enrollment ID: I20251006001073 |
| Provider Name | Shayla Mackey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548988066 PECOS PAC ID: 4082101175 Enrollment ID: I20251013004096 |
| Provider Name | Wallace Pond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154031664 PECOS PAC ID: 4082102637 Enrollment ID: I20251024000815 |
| Provider Name | Vanessa Martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316760549 PECOS PAC ID: 4183114754 Enrollment ID: I20251104000390 |
| Provider Name | Amanda Rose Brown |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881043305 PECOS PAC ID: 9739449406 Enrollment ID: I20251120000605 |
| Provider Name | Samuel DMD Teague |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215429642 PECOS PAC ID: 7214420611 Enrollment ID: I20251203004542 |
| Provider Name | Emily Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215655345 PECOS PAC ID: 4284128117 Enrollment ID: I20251209002253 |
| Provider Name | Tyson Craig Grose |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1720562150 PECOS PAC ID: 4789178617 Enrollment ID: I20251209002345 |
| Provider Name | Korby Howell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447743257 PECOS PAC ID: 3274876958 Enrollment ID: I20251210001160 |
| Provider Name | Bradley Spargur |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568333177 PECOS PAC ID: 3678067337 Enrollment ID: I20251210001484 |
| Provider Name | Samuel Lewarchick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356201099 PECOS PAC ID: 3072007392 Enrollment ID: I20251212002926 |
| Provider Name | Shea Michele Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457164261 PECOS PAC ID: 9133614266 Enrollment ID: I20251216004578 |
| Provider Name | Carol Cover |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437045804 PECOS PAC ID: 5799270104 Enrollment ID: I20251223002533 |
| Provider Name | Katie E Baron |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083137004 PECOS PAC ID: 6800145525 Enrollment ID: I20251224000057 |
| Provider Name | Rebecca Lee Hamilton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437827797 PECOS PAC ID: 5597251660 Enrollment ID: I20251229002393 |
| Provider Name | Armen Gasparian |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1790838902 PECOS PAC ID: 0446737340 Enrollment ID: I20260122001717 |
| Provider Name | Josephine Klumpenhower |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336022573 PECOS PAC ID: 8628546967 Enrollment ID: I20260506000317 |
| Provider Name | Sarah Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124991161 PECOS PAC ID: 3779051826 Enrollment ID: I20260506003120 |
| Provider Name | Heather Chris Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114247111 PECOS PAC ID: 5294204673 Enrollment ID: I20260514003288 |
| Provider Name | Susan Gulya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366961070 PECOS PAC ID: 6002175346 Enrollment ID: I20260519001237 |
| Provider Name | Brenna Mae Kahle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609667369 PECOS PAC ID: 1153890926 Enrollment ID: I20260521001201 |
Spark Psychological Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 363 Valle Escondido Dr, Durango, CO 81303 Phone: 970-905-5071 |
Flow Wolf Counseling and Bodywork Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Florida Rd Unit 11, Durango, CO 81301 Phone: 970-769-1967 |
Two Sparrows Durango PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1911 Main Ave Ste 101, Durango, CO 81301 Phone: 970-903-7701 |
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 |
Jacqueline Juliana Licensed Professional Counselor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2508 Delwood Ave, Durango, CO 81301 Phone: 970-946-3709 |