| Northern Horizon Behavioral Health | |
|
109 N Rutherford Ave Johnstown CO 80534-8639 | |
| (970) 619-1920 | |
| (970) 449-7519 |
| Full Name | Northern Horizon Behavioral Health |
|---|---|
| Speciality | Counselor |
| Location | 109 N Rutherford Ave, Johnstown, Colorado |
| Authorized Official Name and Position | Brooke Johnson (OFFICE MANAGER) |
| Authorized Official Contact | 9705341967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Horizon Behavioral Health 138 E 4th St Ste 8 Loveland CO 80537-5502 Ph: (970) 619-1920 | Northern Horizon Behavioral Health 109 N Rutherford Ave Johnstown CO 80534-8639 Ph: (970) 619-1920 |
| NPI Number | 1073165296 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 06/23/2021 |
| Certification Date | 05/28/2021 |
| Medicare PECOS PAC ID | 4486195906 |
|---|---|
| Medicare Enrollment ID | O20240924001049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073165296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nicole Tolle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861696692 PECOS PAC ID: 8820539349 Enrollment ID: I20240926000921 |
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