| Outside Rein, Llc | |
| 
					13576 County Rd 1 Florissant CO 80816-9001  | |
| (719) 235-7473 | |
| (719) 748-0196 | 
| Full Name | Outside Rein, Llc | 
|---|---|
| Speciality | Counselor | 
| Location | 13576 County Rd 1, Florissant, Colorado | 
| Authorized Official Name and Position | Monique Julia Ekker (OWNER/THERAPIST) | 
| Authorized Official Contact | 7192357473 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Outside Rein, Llc 13576 County Rd 1 Florissant CO 80816-9001 Ph: (719) 235-7473  | Outside Rein, Llc 13576 County Rd 1 Florissant CO 80816-9001 Ph: (719) 235-7473  | 
| NPI Number | 1508338575 | 
|---|---|
| Provider Enumeration Date | 12/31/2018 | 
| Last Update Date | 12/31/2018 | 
| Medicare PECOS PAC ID | 9739626227 | 
|---|---|
| Medicare Enrollment ID | O20240801002436 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508338575 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary | 
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Provider Name | Monique Julia Ekker | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1700241361 PECOS PAC ID: 0143767731 Enrollment ID: I20240801002721  | 
Lifepath Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2641 Southpark Rd, Florissant, CO 80816 Phone: 719-465-7442 Fax: 719-960-2279  |