| Four Points Counseling Center | |
|
1221 E Elizabeth St Ste 3 Fort Collins CO 80524-4066 | |
| (970) 682-1337 | |
| (855) 461-3393 |
| Full Name | Four Points Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 1221 E Elizabeth St Ste 3, Fort Collins, Colorado |
| Authorized Official Name and Position | Lauren Stanley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9706821337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Points Counseling Center 1221 E Elizabeth St Ste 3 Fort Collins CO 80524-4066 Ph: (970) 682-1337 | Four Points Counseling Center 1221 E Elizabeth St Ste 3 Fort Collins CO 80524-4066 Ph: (970) 682-1337 |
| NPI Number | 1407429350 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 4789089335 |
|---|---|
| Medicare Enrollment ID | O20210820000750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407429350 | NPI | - | NPPES |
| 9000195595 | Medicaid | CO |
| Provider Name | Lauren Boe Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184972291 PECOS PAC ID: 0840504056 Enrollment ID: I20160331000688 |
| Provider Name | Jesse Hazel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972053973 PECOS PAC ID: 6002197282 Enrollment ID: I20190625001021 |
| Provider Name | Suzanne Roscoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447849526 PECOS PAC ID: 9537542154 Enrollment ID: I20220815002920 |
| Provider Name | Ashley R Shaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740653906 PECOS PAC ID: 3577914407 Enrollment ID: I20240104003649 |
| Provider Name | Stevahna Jacqueline Madden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831704386 PECOS PAC ID: 7810348620 Enrollment ID: I20240105002032 |
| Provider Name | Hannah Lynne Svedlow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023635190 PECOS PAC ID: 2961853627 Enrollment ID: I20240105004073 |
| Provider Name | Emily O'rourke-mills |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134430218 PECOS PAC ID: 9638520307 Enrollment ID: I20240105004314 |
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