| Horizon Health Services Inc | |
|
55 Dodge Rd Getzville NY 14068-1205 | |
| (716) 831-2700 | |
| (716) 831-1818 |
| Full Name | Horizon Health Services Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 55 Dodge Rd, Getzville, New York |
| Authorized Official Name and Position | Erin Digirolamo (CEO) |
| Authorized Official Contact | 7168312700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Health Services Inc 55 Dodge Rd Getzville NY 14068-1205 Ph: (716) 831-2700 | Horizon Health Services Inc 55 Dodge Rd Getzville NY 14068-1205 Ph: (716) 831-2700 |
| NPI Number | 1043387152 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/07/2023 |
| Medicare PECOS PAC ID | 5698689925 |
|---|---|
| Medicare Enrollment ID | O20031119000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043387152 | NPI | - | NPPES |
| 02993786 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Isabel B Molina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588699227 PECOS PAC ID: 5496647216 Enrollment ID: I20040326000778 |
| Provider Name | Adrienne M Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255412128 PECOS PAC ID: 7315839149 Enrollment ID: I20040326000838 |
| Provider Name | Andrew Symons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548238538 PECOS PAC ID: 8426092644 Enrollment ID: I20050617000327 |
| Provider Name | Frederick Michael Elliott |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023080728 PECOS PAC ID: 8224066451 Enrollment ID: I20050729000376 |
| Provider Name | Mark A Varallo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881669281 PECOS PAC ID: 3678588498 Enrollment ID: I20060215000777 |
| Provider Name | Alan J Barcomb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548220775 PECOS PAC ID: 2062594070 Enrollment ID: I20080130000307 |
| Provider Name | Liana L Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013013788 PECOS PAC ID: 4789871641 Enrollment ID: I20101206000288 |
| Provider Name | Jennifer L Boyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992019038 PECOS PAC ID: 8022287267 Enrollment ID: I20110804000597 |
| Provider Name | Cassie Lynne Guagliano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730318866 PECOS PAC ID: 0749422418 Enrollment ID: I20130808000359 |
| Provider Name | Elizabeth Anne Greis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508109315 PECOS PAC ID: 8426290511 Enrollment ID: I20130820000915 |
| Provider Name | Angela J Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184768350 PECOS PAC ID: 5890938443 Enrollment ID: I20130829000126 |
| Provider Name | Christian M Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306160734 PECOS PAC ID: 1052538709 Enrollment ID: I20140804002367 |
| Provider Name | Noelle Luterek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003218074 PECOS PAC ID: 5698091353 Enrollment ID: I20150224001758 |
| Provider Name | Christopher A Frigon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033218144 PECOS PAC ID: 5698089191 Enrollment ID: I20150728005155 |
| Provider Name | Amanda M Norton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801189717 PECOS PAC ID: 0244532745 Enrollment ID: I20151230000033 |
| Provider Name | Rynar Joss Lim-zolczer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811247661 PECOS PAC ID: 8527366566 Enrollment ID: I20160407001622 |
| Provider Name | Joshua T Morra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710240353 PECOS PAC ID: 4789974007 Enrollment ID: I20160527000956 |
| Provider Name | Ying Liu Wohlberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497113047 PECOS PAC ID: 4183902976 Enrollment ID: I20161029000019 |
| Provider Name | Jamie P Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629347117 PECOS PAC ID: 4284914052 Enrollment ID: I20161213002370 |
| Provider Name | Loren J Wehling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457802563 PECOS PAC ID: 2466734538 Enrollment ID: I20170125001047 |
| Provider Name | Kaitlyn M Erb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558614099 PECOS PAC ID: 1759652951 Enrollment ID: I20170807001770 |
| Provider Name | Gulsum Silluzio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902244551 PECOS PAC ID: 2860763778 Enrollment ID: I20170810000440 |
| Provider Name | Susan F Zannoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083080782 PECOS PAC ID: 8426323635 Enrollment ID: I20171013000275 |
| Provider Name | Rebekah Lutkoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093190639 PECOS PAC ID: 6709152267 Enrollment ID: I20171027001300 |
| Provider Name | Brendan Raleigh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548674609 PECOS PAC ID: 8729348180 Enrollment ID: I20180202000242 |
| Provider Name | Elizabeth M Hole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114364882 PECOS PAC ID: 2365791597 Enrollment ID: I20180822000951 |
| Provider Name | Kathleen S Kratochvil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982953832 PECOS PAC ID: 4183978786 Enrollment ID: I20181119000827 |
| Provider Name | Amanda L Madding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427352673 PECOS PAC ID: 5294079315 Enrollment ID: I20181130000718 |
| Provider Name | Brenna E Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801300017 PECOS PAC ID: 4284974189 Enrollment ID: I20190312002455 |
| Provider Name | Samantha L Mogavero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902360183 PECOS PAC ID: 9436499423 Enrollment ID: I20190329001487 |
| Provider Name | Heather Marie Bowman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992180632 PECOS PAC ID: 1951644178 Enrollment ID: I20190509002672 |
| Provider Name | Kelly Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346629557 PECOS PAC ID: 0143554386 Enrollment ID: I20190621002689 |
| Provider Name | Ashley Anne Ciresi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396251690 PECOS PAC ID: 1557698537 Enrollment ID: I20190814000917 |
| Provider Name | Megan Elizabeth Wazny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255984787 PECOS PAC ID: 1850622804 Enrollment ID: I20191007001073 |
| Provider Name | Essence Porter-mcdowell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235536624 PECOS PAC ID: 9436480050 Enrollment ID: I20191014001387 |
| Provider Name | Megan Leigh Tevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053653956 PECOS PAC ID: 6002241262 Enrollment ID: I20200115003020 |
| Provider Name | Melissa Catherine Coddington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255704052 PECOS PAC ID: 4587090782 Enrollment ID: I20200206002356 |
| Provider Name | Shirley A Crawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194352666 PECOS PAC ID: 0042641888 Enrollment ID: I20200512002384 |
| Provider Name | Alexandria R Meli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447870027 PECOS PAC ID: 9335567247 Enrollment ID: I20200909001855 |
| Provider Name | Caitlyn Christina Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760007447 PECOS PAC ID: 2860810108 Enrollment ID: I20200917002482 |
| Provider Name | Nicole I Mcclamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649802224 PECOS PAC ID: 8820402118 Enrollment ID: I20210127003174 |
| Provider Name | Courtney Elizabeth Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053704478 PECOS PAC ID: 9931505823 Enrollment ID: I20210831003838 |
| Provider Name | Rachel Beverly Kocur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063941730 PECOS PAC ID: 8325446255 Enrollment ID: I20211007001317 |
| Provider Name | Jennifer Lynn Rizzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497415467 PECOS PAC ID: 4688065766 Enrollment ID: I20211228001144 |
| Provider Name | Alex K Dudzic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801557863 PECOS PAC ID: 7012309131 Enrollment ID: I20220124001629 |
| Provider Name | Robyn Anne Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093237422 PECOS PAC ID: 7810383304 Enrollment ID: I20220411000140 |
| Provider Name | Morgan Montgomery Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376038307 PECOS PAC ID: 4688061260 Enrollment ID: I20220429000219 |
| Provider Name | Gabrielle L Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740941830 PECOS PAC ID: 7416339072 Enrollment ID: I20220729001486 |
| Provider Name | Dana Patricia Nesci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467976613 PECOS PAC ID: 4688056112 Enrollment ID: I20220801001075 |
| Provider Name | Sarah Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104552066 PECOS PAC ID: 2860878394 Enrollment ID: I20221006000229 |
| Provider Name | Aza H Attie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477287266 PECOS PAC ID: 4082083449 Enrollment ID: I20221207002774 |
| Provider Name | Michelle Lynn Reggie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851735492 PECOS PAC ID: 9830569540 Enrollment ID: I20221221000831 |
| Provider Name | Julie Costantino Wiley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174237085 PECOS PAC ID: 3274904487 Enrollment ID: I20230126002243 |
| Provider Name | Victoria Rose Raber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144857046 PECOS PAC ID: 6103297015 Enrollment ID: I20230131002648 |
| Provider Name | Allyson Gay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255049052 PECOS PAC ID: 9638543705 Enrollment ID: I20230314000495 |
| Provider Name | Kay L Prinzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811533151 PECOS PAC ID: 0244695567 Enrollment ID: I20230420000887 |
| Provider Name | David J Mccalister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013438720 PECOS PAC ID: 2567829039 Enrollment ID: I20230530000790 |
| Provider Name | Laquita Dawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699166132 PECOS PAC ID: 4486012283 Enrollment ID: I20230627001986 |
| Provider Name | Christina Ouellette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124491006 PECOS PAC ID: 9537513262 Enrollment ID: I20230928000972 |
| Provider Name | Gabrielle Marie Citriniti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235784802 PECOS PAC ID: 0547618704 Enrollment ID: I20231128002869 |
| Provider Name | Stephanie Marie Pinzel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265926596 PECOS PAC ID: 8022466853 Enrollment ID: I20231204003478 |
| Provider Name | Joshua Peter Bradley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093086191 PECOS PAC ID: 2365893658 Enrollment ID: I20240111001211 |
| Provider Name | Katherine E Burbee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164595039 PECOS PAC ID: 9032560149 Enrollment ID: I20240112001199 |
| Provider Name | Jodi Michelle Benatovich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083196331 PECOS PAC ID: 4385095496 Enrollment ID: I20240112001278 |
| Provider Name | Tamalyn Adel Brown-penders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235609033 PECOS PAC ID: 4284085390 Enrollment ID: I20240112001341 |
| Provider Name | Chelsea Rae Christopher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992287189 PECOS PAC ID: 5597116657 Enrollment ID: I20240112002745 |
| Provider Name | Jennifer L Lilleby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942636907 PECOS PAC ID: 2062863137 Enrollment ID: I20240112003293 |
| Provider Name | Stefanie Marie Cybulski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679004063 PECOS PAC ID: 3971954041 Enrollment ID: I20240112003299 |
| Provider Name | Elizabeth Anne Leonard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679821888 PECOS PAC ID: 1658722749 Enrollment ID: I20240112003834 |
| Provider Name | Justine Ann Pettit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679113377 PECOS PAC ID: 7618329723 Enrollment ID: I20240113000361 |
| Provider Name | Shannon Marie Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588109730 PECOS PAC ID: 8426400532 Enrollment ID: I20240113000386 |
| Provider Name | Kimberly Ellen Kennedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841728144 PECOS PAC ID: 0042662157 Enrollment ID: I20240113000475 |
| Provider Name | Mary Grace Daly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164954046 PECOS PAC ID: 4587016696 Enrollment ID: I20240113000510 |
| Provider Name | Amanda I Czworka |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154866549 PECOS PAC ID: 9931551041 Enrollment ID: I20240113000534 |
| Provider Name | Alexandria Nicole Doane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831637149 PECOS PAC ID: 2668824772 Enrollment ID: I20240113000542 |
| Provider Name | Jessica Agnes Keane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720542780 PECOS PAC ID: 5294187365 Enrollment ID: I20240115001228 |
| Provider Name | Jodi Mara Gerhard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356502223 PECOS PAC ID: 1355793357 Enrollment ID: I20240116000319 |
| Provider Name | Angela Janel Docenko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720504129 PECOS PAC ID: 0941652945 Enrollment ID: I20240116000457 |
| Provider Name | Marissa M Elston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417497215 PECOS PAC ID: 8022460047 Enrollment ID: I20240116000846 |
| Provider Name | Amber Johanna Elsenbeck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184160624 PECOS PAC ID: 1355793373 Enrollment ID: I20240116000964 |
| Provider Name | Rachel Marie Griffey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659796548 PECOS PAC ID: 8123470150 Enrollment ID: I20240116001163 |
| Provider Name | Amanda Christina Hoctor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720564727 PECOS PAC ID: 1759733785 Enrollment ID: I20240116001208 |
| Provider Name | Sara Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174954861 PECOS PAC ID: 6901258938 Enrollment ID: I20240116001324 |
| Provider Name | Patrick Greene |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588934053 PECOS PAC ID: 2860844800 Enrollment ID: I20240116001481 |
| Provider Name | Jessica Landen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760977730 PECOS PAC ID: 9830541879 Enrollment ID: I20240116001575 |
| Provider Name | Mallary Joy O'banion |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396011334 PECOS PAC ID: 8426400490 Enrollment ID: I20240116002429 |
| Provider Name | Kara Lynn Patricko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831553940 PECOS PAC ID: 1759733728 Enrollment ID: I20240116002581 |
| Provider Name | Jennifer C Mongiovi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578878260 PECOS PAC ID: 4688026560 Enrollment ID: I20240116003158 |
| Provider Name | Mary Catherine Paradiso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700025418 PECOS PAC ID: 6901258839 Enrollment ID: I20240117000150 |
| Provider Name | Ryan Edward Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508416033 PECOS PAC ID: 3173975000 Enrollment ID: I20240117000187 |
| Provider Name | Chelsea Noelle Plescia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023479979 PECOS PAC ID: 4789036625 Enrollment ID: I20240117000332 |
| Provider Name | Cathrine Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295089258 PECOS PAC ID: 6507218443 Enrollment ID: I20240117000342 |
| Provider Name | Lindsey Kocher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629504121 PECOS PAC ID: 9931551876 Enrollment ID: I20240117000399 |
| Provider Name | Sangita Mukherjee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174141576 PECOS PAC ID: 3072965938 Enrollment ID: I20240117000960 |
| Provider Name | Rachell Lee Rizzo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457747115 PECOS PAC ID: 5395197255 Enrollment ID: I20240117001189 |
| Provider Name | Nathaniel Hilts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033786264 PECOS PAC ID: 4486006244 Enrollment ID: I20240117001492 |
| Provider Name | Amanda Marie Schrader |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861051740 PECOS PAC ID: 4688026487 Enrollment ID: I20240117002796 |
| Provider Name | Ashley Noelle Walczak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225560105 PECOS PAC ID: 7214389030 Enrollment ID: I20240117003186 |
| Provider Name | Shana M House |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952755712 PECOS PAC ID: 6608228432 Enrollment ID: I20240117003825 |
| Provider Name | Alix Hutchison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033485792 PECOS PAC ID: 7113379959 Enrollment ID: I20240117003962 |
| Provider Name | Lauren Elizabeth Popielarz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447722368 PECOS PAC ID: 1456703297 Enrollment ID: I20240117004101 |
| Provider Name | Jordan David Valley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568001576 PECOS PAC ID: 2365894102 Enrollment ID: I20240117004108 |
| Provider Name | Amanda C Schultz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477958882 PECOS PAC ID: 4789036534 Enrollment ID: I20240117004319 |
| Provider Name | Nicholas Patrick Nolan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447774393 PECOS PAC ID: 2466804125 Enrollment ID: I20240118000328 |
| Provider Name | Edward G Solpietro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356884217 PECOS PAC ID: 0345692018 Enrollment ID: I20240118000443 |
| Provider Name | Judith Rynne Tejada |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548341571 PECOS PAC ID: 2163874850 Enrollment ID: I20240118001158 |
| Provider Name | Kelsey Amanda Tabbi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962963678 PECOS PAC ID: 0749632453 Enrollment ID: I20240118001759 |
| Provider Name | Rachel Shapiro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912536079 PECOS PAC ID: 1153773700 Enrollment ID: I20240118003394 |
| Provider Name | Rebecca Emily Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386137420 PECOS PAC ID: 9739531153 Enrollment ID: I20240122000492 |
| Provider Name | Samantha Ann Gray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699397224 PECOS PAC ID: 8022460237 Enrollment ID: I20240123002906 |
| Provider Name | Melissa Ann Petronella |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639535578 PECOS PAC ID: 8527411776 Enrollment ID: I20240124002959 |
| Provider Name | Masson Hope Stinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205518164 PECOS PAC ID: 9830542737 Enrollment ID: I20240126002654 |
| Provider Name | Malerie Staskiewicz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083102362 PECOS PAC ID: 7911340203 Enrollment ID: I20240202002612 |
| Provider Name | Beata Caroline Skonecki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780102897 PECOS PAC ID: 6507209632 Enrollment ID: I20240206002553 |
| Provider Name | Melissa Ann Stryker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811024722 PECOS PAC ID: 3274976154 Enrollment ID: I20240207003045 |
| Provider Name | Amanda Frances Pecoraro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407393838 PECOS PAC ID: 3779926480 Enrollment ID: I20240209002051 |
| Provider Name | Anne E Brundin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265110944 PECOS PAC ID: 8628411154 Enrollment ID: I20240212001857 |
| Provider Name | Brandon Timothy Dufrane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801454913 PECOS PAC ID: 0345684882 Enrollment ID: I20240222003997 |
| Provider Name | Shelby Spengler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043876063 PECOS PAC ID: 0446695639 Enrollment ID: I20240227003858 |
| Provider Name | Dominique Nikol Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306610282 PECOS PAC ID: 5698112209 Enrollment ID: I20240319001093 |
| Provider Name | Kristin Marie Schuhmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306498878 PECOS PAC ID: 6800234642 Enrollment ID: I20240329001302 |
| Provider Name | Danielle Marie Lipuma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215791819 PECOS PAC ID: 0345688404 Enrollment ID: I20240409001658 |
| Provider Name | Leah Elizabeth Vanbourgondien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235374356 PECOS PAC ID: 6406295112 Enrollment ID: I20240415001501 |
| Provider Name | Colleen Raleigh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629662317 PECOS PAC ID: 2365881968 Enrollment ID: I20240416001079 |
| Provider Name | Emily M Mallone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720606734 PECOS PAC ID: 8325489321 Enrollment ID: I20240508001497 |
| Provider Name | Nicole Lv Antonacci |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104580380 PECOS PAC ID: 2365884889 Enrollment ID: I20240529001573 |
| Provider Name | Ryan Parry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760078828 PECOS PAC ID: 0749723930 Enrollment ID: I20240617000564 |
| Provider Name | Amanda Fiegl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487383584 PECOS PAC ID: 8325584295 Enrollment ID: I20240726003858 |
| Provider Name | Benjamin Stewart Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760111868 PECOS PAC ID: 8527505510 Enrollment ID: I20240808001522 |
| Provider Name | Cheneen Sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821452327 PECOS PAC ID: 8224577713 Enrollment ID: I20240828003024 |
| Provider Name | Allison Anne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669106886 PECOS PAC ID: 4183158652 Enrollment ID: I20241107000712 |
| Provider Name | Brianna Grace Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295250090 PECOS PAC ID: 9032644810 Enrollment ID: I20241203002621 |
| Provider Name | Kathryn Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245801877 PECOS PAC ID: 8426585589 Enrollment ID: I20241231002404 |
| Provider Name | Nicole Leane Dunbar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336413996 PECOS PAC ID: 3072042209 Enrollment ID: I20250131003284 |
| Provider Name | Maynor J Williamson Henriquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588258255 PECOS PAC ID: 8426588542 Enrollment ID: I20250205000420 |
| Provider Name | Patricia Renee Russo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114656212 PECOS PAC ID: 6608306733 Enrollment ID: I20250205000861 |
| Provider Name | Victoria Mary Jane Kustra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447923156 PECOS PAC ID: 2567992258 Enrollment ID: I20250211001117 |
| Provider Name | Scott L Harriger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235954397 PECOS PAC ID: 6406376201 Enrollment ID: I20250224002819 |
| Provider Name | Maria Lucas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467002808 PECOS PAC ID: 8224550785 Enrollment ID: I20250313003506 |
| Provider Name | James Poppo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609491083 PECOS PAC ID: 0143744789 Enrollment ID: I20250404002082 |
| Provider Name | Faith Anne Sledziewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629690912 PECOS PAC ID: 7315461431 Enrollment ID: I20250410002156 |