| Rising Sun Counseling Center | |
|
13575 E 104th Ave Ste 300-400 Commerce City CO 80022-8400 | |
| (720) 339-9830 | |
| (303) 484-6256 |
| Full Name | Rising Sun Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 13575 E 104th Ave Ste 300-400, Commerce City, Colorado |
| Authorized Official Name and Position | Vicki Sayre (BILLER) |
| Authorized Official Contact | 7209890021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Sun Counseling Center 13659 E 104th Ave, Ste 500 Commerce City CO 80022-9409 Ph: (720) 339-9830 | Rising Sun Counseling Center 13575 E 104th Ave Ste 300-400 Commerce City CO 80022-8400 Ph: (720) 339-9830 |
| NPI Number | 1194374967 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 05/05/2022 |
| Certification Date | 05/05/2022 |
| Medicare PECOS PAC ID | 0749645851 |
|---|---|
| Medicare Enrollment ID | O20230425000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194374967 | NPI | - | NPPES |
| 9000175730 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Allison Yokimcus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992411698 PECOS PAC ID: 5991160004 Enrollment ID: I20230425000954 |
| Provider Name | Linda Lee Campagna |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801274360 PECOS PAC ID: 3476918582 Enrollment ID: I20240213002910 |
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