| Empower Mental Health Llc | |
|
340 E 1st Ave Ste 300 Broomfield CO 80020-2454 | |
| (303) 928-9693 | |
| (970) 661-3683 |
| Full Name | Empower Mental Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 340 E 1st Ave Ste 300, Broomfield, Colorado |
| Authorized Official Name and Position | Douglas Beck (PRESIDENT) |
| Authorized Official Contact | 3039289693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Mental Health Llc 340 E 1st Ave Ste 300 Broomfield CO 80020-2454 Ph: (303) 928-9693 | Empower Mental Health Llc 340 E 1st Ave Ste 300 Broomfield CO 80020-2454 Ph: (303) 928-9693 |
| NPI Number | 1699462697 |
|---|---|
| Provider Enumeration Date | 04/19/2023 |
| Last Update Date | 04/19/2023 |
| Certification Date | 04/19/2023 |
| Medicare PECOS PAC ID | 0143768341 |
|---|---|
| Medicare Enrollment ID | O20240820000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699462697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Amber Gulley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417589946 PECOS PAC ID: 1759829955 Enrollment ID: I20240820000392 |
| Provider Name | Lisel Marie Von Duyke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740677707 PECOS PAC ID: 1759812639 Enrollment ID: I20241002002837 |
| Provider Name | Nicole Marcisz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033864251 PECOS PAC ID: 3870024706 Enrollment ID: I20241003000190 |
| Provider Name | Allison Marie Rauscher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831613710 PECOS PAC ID: 9133653660 Enrollment ID: I20241106003576 |
| Provider Name | Catherine Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053185066 PECOS PAC ID: 3072034495 Enrollment ID: I20250302000022 |
| Provider Name | Jacqueline Sue Vandenbovenkamp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659588101 PECOS PAC ID: 3173042389 Enrollment ID: I20250521001159 |
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