| Pathways Community Behavioral Healthcare | |
|
1800 Community Clinton MO 64735-8804 | |
| (660) 885-8131 | |
| Not Available |
| Full Name | Pathways Community Behavioral Healthcare |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1800 Community, Clinton, Missouri |
| Authorized Official Name and Position | Teresa Porter (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6364666452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Community Behavioral Healthcare 1800 Community Clinton MO 64735-8804 Ph: (660) 885-8131 | Pathways Community Behavioral Healthcare 1800 Community Clinton MO 64735-8804 Ph: (660) 885-8131 |
| NPI Number | 1285619494 |
|---|---|
| Provider Enumeration Date | 12/09/2005 |
| Last Update Date | 12/10/2021 |
| Certification Date | 12/10/2021 |
| Medicare PECOS PAC ID | 1951206754 |
|---|---|
| Medicare Enrollment ID | O20040408000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285619494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Joseph J. Parks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003898495 PECOS PAC ID: 5496668204 Enrollment ID: I20031107000485 |
| Provider Name | Omar H Quadri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811071665 PECOS PAC ID: 7113826876 Enrollment ID: I20040102000198 |
| Provider Name | Deborah Monzyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457350381 PECOS PAC ID: 6204721822 Enrollment ID: I20040220000813 |
| Provider Name | Almas H Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588723738 PECOS PAC ID: 6406848522 Enrollment ID: I20040331000227 |
| Provider Name | Janet Lynn Hankins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356319156 PECOS PAC ID: 3274521836 Enrollment ID: I20040503001229 |
| Provider Name | Parimal B Purohit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003894411 PECOS PAC ID: 6608867148 Enrollment ID: I20040521001178 |
| Provider Name | Michael D Shoemaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639167687 PECOS PAC ID: 5890770119 Enrollment ID: I20040622000002 |
| Provider Name | Suzanne Seger Strathman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336105477 PECOS PAC ID: 3072599539 Enrollment ID: I20040625000290 |
| Provider Name | Syed Abu Ali Jaffri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396705984 PECOS PAC ID: 3173595832 Enrollment ID: I20040812000150 |
| Provider Name | Mohammad Aref Rasheed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164400594 PECOS PAC ID: 6507831013 Enrollment ID: I20040828000207 |
| Provider Name | Beth A Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841290335 PECOS PAC ID: 4082510474 Enrollment ID: I20040913000976 |
| Provider Name | Satnam Mahal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053399915 PECOS PAC ID: 7810957487 Enrollment ID: I20041018000844 |
| Provider Name | Brian C Parsells |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922086727 PECOS PAC ID: 0143282541 Enrollment ID: I20041028000501 |
| Provider Name | Bhaskar Y Gowda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750367967 PECOS PAC ID: 7416910849 Enrollment ID: I20041108000226 |
| Provider Name | Muhammad Baber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497769194 PECOS PAC ID: 3476518200 Enrollment ID: I20041122000346 |
| Provider Name | Laine M Young-walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831114958 PECOS PAC ID: 1254396088 Enrollment ID: I20041122000379 |
| Provider Name | Sanjv Sethi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942225073 PECOS PAC ID: 2961467790 Enrollment ID: I20041122000396 |
| Provider Name | Barbara Gray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801872015 PECOS PAC ID: 8224094099 Enrollment ID: I20041203000083 |
| Provider Name | Sridevi Gavirneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366545543 PECOS PAC ID: 8628026697 Enrollment ID: I20050106000156 |
| Provider Name | Anne W Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184708109 PECOS PAC ID: 0446200869 Enrollment ID: I20050124000941 |
| Provider Name | Robin Vogt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326063447 PECOS PAC ID: 3173573540 Enrollment ID: I20050125000252 |
| Provider Name | Javed A Choudhry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659357184 PECOS PAC ID: 7517917297 Enrollment ID: I20050131000469 |
| Provider Name | Duru Sakhrani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861501942 PECOS PAC ID: 5991758500 Enrollment ID: I20050223000675 |
| Provider Name | Betty A Noll |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508813833 PECOS PAC ID: 6800849456 Enrollment ID: I20050224000003 |
| Provider Name | Joyce Frances Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700840824 PECOS PAC ID: 6608829635 Enrollment ID: I20050302000004 |
| Provider Name | Curtis Hyde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982636395 PECOS PAC ID: 1759336704 Enrollment ID: I20050314000271 |
| Provider Name | Vadim Y Baram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124007380 PECOS PAC ID: 3577518299 Enrollment ID: I20050316000023 |
| Provider Name | Mehrunissa Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730165341 PECOS PAC ID: 5890732929 Enrollment ID: I20050411000971 |
| Provider Name | Lisa Parker Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275573065 PECOS PAC ID: 8224078076 Enrollment ID: I20050511000272 |
| Provider Name | Nancy Howe |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366477291 PECOS PAC ID: 7517900582 Enrollment ID: I20050610000006 |
| Provider Name | Joule N Stevenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205932621 PECOS PAC ID: 9739119835 Enrollment ID: I20050818000342 |
| Provider Name | Timothy M Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902967789 PECOS PAC ID: 3375573256 Enrollment ID: I20050822000073 |
| Provider Name | Michele L Niemczyk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083649024 PECOS PAC ID: 2163453796 Enrollment ID: I20050824000168 |
| Provider Name | Teresa C Hoskins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164403200 PECOS PAC ID: 5597781252 Enrollment ID: I20051021000301 |
| Provider Name | Malik Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770557985 PECOS PAC ID: 5294752648 Enrollment ID: I20051026000073 |
| Provider Name | Catherine Erny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215913785 PECOS PAC ID: 0941229728 Enrollment ID: I20051122000475 |
| Provider Name | Katheryn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659377752 PECOS PAC ID: 3476568262 Enrollment ID: I20060215000580 |
| Provider Name | Pamela Sue Gulley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598821209 PECOS PAC ID: 2466468186 Enrollment ID: I20060303000431 |
| Provider Name | Michael Kent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174607071 PECOS PAC ID: 5698783983 Enrollment ID: I20060328000700 |
| Provider Name | Josetta E Wahwassuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629049929 PECOS PAC ID: 7911916739 Enrollment ID: I20060406000107 |
| Provider Name | Christopher J Hartigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336132091 PECOS PAC ID: 6800808411 Enrollment ID: I20060626000018 |
| Provider Name | Barbara J Douglass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063462091 PECOS PAC ID: 5496758260 Enrollment ID: I20060816000477 |
| Provider Name | Clara L Parks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831192830 PECOS PAC ID: 0244239432 Enrollment ID: I20061218000154 |
| Provider Name | Fatima Naseer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639281223 PECOS PAC ID: 6800897448 Enrollment ID: I20070124000403 |
| Provider Name | Latha Venkatesh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417954835 PECOS PAC ID: 3779685300 Enrollment ID: I20070228000049 |
| Provider Name | Paula Lynne Wiesehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144348954 PECOS PAC ID: 3476658337 Enrollment ID: I20070420000455 |
| Provider Name | Tenea M Lowman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366420796 PECOS PAC ID: 2860490208 Enrollment ID: I20070430000188 |
| Provider Name | Katherine Friedebach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871537704 PECOS PAC ID: 5799881140 Enrollment ID: I20070502000217 |
| Provider Name | Erik J Lindbloom |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1598764011 PECOS PAC ID: 1254439268 Enrollment ID: I20070614000056 |
| Provider Name | Brian Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356450191 PECOS PAC ID: 3971602442 Enrollment ID: I20070625000180 |
| Provider Name | Rebecca P Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528067097 PECOS PAC ID: 1355440553 Enrollment ID: I20070629000238 |
| Provider Name | Melinda Michelle Zion Hecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508969312 PECOS PAC ID: 1254431356 Enrollment ID: I20070702000457 |
| Provider Name | Vicky L Gulley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750589024 PECOS PAC ID: 8022109347 Enrollment ID: I20070801000159 |
| Provider Name | Khursheed Zia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003931742 PECOS PAC ID: 6204929078 Enrollment ID: I20070910000887 |
| Provider Name | Patricia D Hinkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023217031 PECOS PAC ID: 0345335600 Enrollment ID: I20071001000789 |
| Provider Name | Richard B Buckles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023121993 PECOS PAC ID: 2668562992 Enrollment ID: I20071226000266 |
| Provider Name | Sherri L Fenwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245412386 PECOS PAC ID: 8527148089 Enrollment ID: I20080109000602 |
| Provider Name | Nallu H Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750373163 PECOS PAC ID: 1052498201 Enrollment ID: I20080411000435 |
| Provider Name | Kaleem U Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861504433 PECOS PAC ID: 7416035118 Enrollment ID: I20080422000250 |
| Provider Name | Faheem S Arain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306958780 PECOS PAC ID: 1557433182 Enrollment ID: I20080626000390 |
| Provider Name | Summer Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871786392 PECOS PAC ID: 9830261817 Enrollment ID: I20080708000548 |
| Provider Name | Suneetha Somireddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558473124 PECOS PAC ID: 2567535990 Enrollment ID: I20080718000168 |
| Provider Name | Elaine Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386833788 PECOS PAC ID: 7113090838 Enrollment ID: I20080725000713 |
| Provider Name | Aleta D Beaty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780862201 PECOS PAC ID: 2668549619 Enrollment ID: I20080917000613 |
| Provider Name | Pappa U Ehimare |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730291154 PECOS PAC ID: 9931277514 Enrollment ID: I20081009000223 |
| Provider Name | Ahsan Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003970849 PECOS PAC ID: 5890854681 Enrollment ID: I20081107000744 |
| Provider Name | Jennifer L Sansone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306098918 PECOS PAC ID: 4082773585 Enrollment ID: I20081112000246 |
| Provider Name | Amy L Meriweather |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821283714 PECOS PAC ID: 2567540172 Enrollment ID: I20081202000093 |
| Provider Name | Stephanie M Pfautz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205096393 PECOS PAC ID: 7719040948 Enrollment ID: I20090113000862 |
| Provider Name | Maria Ann Bitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558348045 PECOS PAC ID: 4981768488 Enrollment ID: I20090128000327 |
| Provider Name | Leigh A Kokenis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104958057 PECOS PAC ID: 5890859821 Enrollment ID: I20090205000371 |
| Provider Name | Cheri K Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699700328 PECOS PAC ID: 1658436175 Enrollment ID: I20090217000725 |
| Provider Name | Melissa Rodgers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053316513 PECOS PAC ID: 4587612155 Enrollment ID: I20090414000568 |
| Provider Name | Sylvia S Bane Malta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730325358 PECOS PAC ID: 8325195951 Enrollment ID: I20090416000293 |
| Provider Name | Cynthia A Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689814824 PECOS PAC ID: 1759430226 Enrollment ID: I20090513000289 |
| Provider Name | Thomas J Nowotny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134284904 PECOS PAC ID: 2365465408 Enrollment ID: I20090522000014 |
| Provider Name | Ambreen Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376655746 PECOS PAC ID: 8527119452 Enrollment ID: I20090706000294 |
| Provider Name | Harmeeta K Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740481027 PECOS PAC ID: 8628120367 Enrollment ID: I20090710000288 |
| Provider Name | Chad R Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073609376 PECOS PAC ID: 4981665262 Enrollment ID: I20090805000313 |
| Provider Name | Amanda Kate Swenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487694436 PECOS PAC ID: 3173678000 Enrollment ID: I20090828000412 |
| Provider Name | Nancy A Maenhoudt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083690598 PECOS PAC ID: 1850438896 Enrollment ID: I20091026000202 |
| Provider Name | Sandra Mcgatha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740516723 PECOS PAC ID: 3274673173 Enrollment ID: I20091229000119 |
| Provider Name | Susan R Moline Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548426117 PECOS PAC ID: 3971644485 Enrollment ID: I20100106000425 |
| Provider Name | Abigail Nicole Schulte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528392024 PECOS PAC ID: 7618018151 Enrollment ID: I20100106000655 |
| Provider Name | Andrew C Quint |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245238005 PECOS PAC ID: 7517009285 Enrollment ID: I20100118000292 |
| Provider Name | Julianne M Matt |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023014594 PECOS PAC ID: 1658414404 Enrollment ID: I20100202000944 |
| Provider Name | Murtaza Hayat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669426383 PECOS PAC ID: 5496759771 Enrollment ID: I20100206000106 |
| Provider Name | Lubbna Johar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578761706 PECOS PAC ID: 2365599461 Enrollment ID: I20100423000902 |
| Provider Name | Akua N Wiredu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811132244 PECOS PAC ID: 4587794524 Enrollment ID: I20100617000489 |
| Provider Name | Davinder James Singh Hayreh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538288394 PECOS PAC ID: 6507981990 Enrollment ID: I20100908000637 |
| Provider Name | James Willard Byrd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730191701 PECOS PAC ID: 9436131232 Enrollment ID: I20100920000267 |
| Provider Name | Susan M Schopflin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578534954 PECOS PAC ID: 9335265800 Enrollment ID: I20100927001012 |
| Provider Name | Angela D King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871745687 PECOS PAC ID: 9032301437 Enrollment ID: I20101004000953 |
| Provider Name | Jonathan Rosenboom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679716864 PECOS PAC ID: 0648462531 Enrollment ID: I20101011000700 |
| Provider Name | David Michael Glick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679557177 PECOS PAC ID: 8123217866 Enrollment ID: I20110111000302 |
| Provider Name | Elizabeth Garwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922211465 PECOS PAC ID: 3173704327 Enrollment ID: I20110222000769 |
| Provider Name | David J Goldmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629121371 PECOS PAC ID: 0042309023 Enrollment ID: I20110411000356 |
| Provider Name | Jeanne E Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841476835 PECOS PAC ID: 7113104431 Enrollment ID: I20110613000874 |
| Provider Name | Farah Hassan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740489004 PECOS PAC ID: 4183892771 Enrollment ID: I20110726000839 |
| Provider Name | Melissa Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346233533 PECOS PAC ID: 5395705792 Enrollment ID: I20110815000302 |
| Provider Name | Megan L Thomas |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1295997229 PECOS PAC ID: 5395916704 Enrollment ID: I20110915000199 |
| Provider Name | Kim Renee Dickherber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780967745 PECOS PAC ID: 5496927931 Enrollment ID: I20111005000873 |
| Provider Name | Sandra Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427054774 PECOS PAC ID: 9436063559 Enrollment ID: I20111128000800 |
| Provider Name | Marcia N Landers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992782106 PECOS PAC ID: 4385819895 Enrollment ID: I20111212000930 |
| Provider Name | Kristina Lea Guarino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134498637 PECOS PAC ID: 7517134554 Enrollment ID: I20120117000102 |
| Provider Name | Sean D Sargent |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184957128 PECOS PAC ID: 9436318151 Enrollment ID: I20120315000193 |
| Provider Name | Myrna I Gover Havener |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487664942 PECOS PAC ID: 3173785060 Enrollment ID: I20120511000098 |
| Provider Name | David D Seaton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982725834 PECOS PAC ID: 3375709116 Enrollment ID: I20120724000470 |
| Provider Name | Mohammad Chowdhury |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639335607 PECOS PAC ID: 5395991707 Enrollment ID: I20120816000901 |
| Provider Name | Gahan P Fallone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669798575 PECOS PAC ID: 9032365424 Enrollment ID: I20120820000488 |
| Provider Name | Sreekant Kodela |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134385040 PECOS PAC ID: 4284881608 Enrollment ID: I20120820000932 |
| Provider Name | Amanda M Sherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326376682 PECOS PAC ID: 3072765155 Enrollment ID: I20121219000178 |
| Provider Name | Kellie Louise Shuck |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598720534 PECOS PAC ID: 6901906197 Enrollment ID: I20130115000382 |
| Provider Name | Sara Elizabeth Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538469812 PECOS PAC ID: 1153574306 Enrollment ID: I20130121000229 |
| Provider Name | Amina Amin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033363676 PECOS PAC ID: 8426202508 Enrollment ID: I20130128000170 |
| Provider Name | Bonny Thacker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093051633 PECOS PAC ID: 1850536723 Enrollment ID: I20130325000303 |
| Provider Name | Cheryl D Amos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437499753 PECOS PAC ID: 8022253848 Enrollment ID: I20130327000612 |
| Provider Name | Cody L Bond |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609119957 PECOS PAC ID: 9830337922 Enrollment ID: I20130531000202 |
| Provider Name | Michaela Muehlbach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083921381 PECOS PAC ID: 3971741836 Enrollment ID: I20130604000879 |
| Provider Name | Muskinni Olanrewaju Salau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215167895 PECOS PAC ID: 9931349396 Enrollment ID: I20130708000314 |
| Provider Name | Monika Goyal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023272036 PECOS PAC ID: 1850532433 Enrollment ID: I20130724000328 |
| Provider Name | Irfan Bhatti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174780167 PECOS PAC ID: 5496996506 Enrollment ID: I20130731000729 |
| Provider Name | Stephanie A Reh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013242494 PECOS PAC ID: 9638311236 Enrollment ID: I20130812000154 |
| Provider Name | David A Mcgatha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053660860 PECOS PAC ID: 4587806831 Enrollment ID: I20130815000595 |
| Provider Name | Bonnie S Guier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679836415 PECOS PAC ID: 5890938914 Enrollment ID: I20130821000314 |
| Provider Name | Naveen Yarasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689804262 PECOS PAC ID: 4183867013 Enrollment ID: I20130826000315 |
| Provider Name | Sara N Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255770194 PECOS PAC ID: 6709010929 Enrollment ID: I20131001000511 |
| Provider Name | Kara R Meler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558687053 PECOS PAC ID: 2062646631 Enrollment ID: I20131015000479 |
| Provider Name | Jason T Meler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942526454 PECOS PAC ID: 6204060882 Enrollment ID: I20131015000627 |
| Provider Name | Pamela L Sisk |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821061250 PECOS PAC ID: 0840230348 Enrollment ID: I20131122001473 |
| Provider Name | Robert James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578991006 PECOS PAC ID: 9638306335 Enrollment ID: I20131227001462 |
| Provider Name | Brett Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922358613 PECOS PAC ID: 0446488282 Enrollment ID: I20140124000559 |
| Provider Name | Stacie G Newberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487801908 PECOS PAC ID: 1052575768 Enrollment ID: I20140220000597 |
| Provider Name | Rebecca Pilarski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881991982 PECOS PAC ID: 1557592359 Enrollment ID: I20140319002117 |
| Provider Name | Olivia M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043511215 PECOS PAC ID: 6800028051 Enrollment ID: I20140422001885 |
| Provider Name | Stephanie D Terrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104925130 PECOS PAC ID: 2668639402 Enrollment ID: I20140701000897 |
| Provider Name | Melissa Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639509607 PECOS PAC ID: 4284859182 Enrollment ID: I20140709002002 |
| Provider Name | Mohit Bhardwaj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871793240 PECOS PAC ID: 7012188709 Enrollment ID: I20140722001837 |
| Provider Name | Kimberly R Brandt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497066740 PECOS PAC ID: 6901032374 Enrollment ID: I20140804001217 |
| Provider Name | Christopher Lorance |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114354024 PECOS PAC ID: 2365660362 Enrollment ID: I20140905000100 |
| Provider Name | Terry Wayne Chance |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225358971 PECOS PAC ID: 6709004690 Enrollment ID: I20140908000702 |
| Provider Name | Crystal N Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124429220 PECOS PAC ID: 0547481210 Enrollment ID: I20141021002665 |
| Provider Name | Luanne S Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245491372 PECOS PAC ID: 1759502149 Enrollment ID: I20141029000094 |
| Provider Name | Jonathan Rhodes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962805127 PECOS PAC ID: 4486875655 Enrollment ID: I20141103000077 |
| Provider Name | Erica Augustyniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124433958 PECOS PAC ID: 6406178458 Enrollment ID: I20141203000604 |
| Provider Name | Shauna Desai Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598985020 PECOS PAC ID: 1759563646 Enrollment ID: I20141209000622 |
| Provider Name | Mary Corrigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003197195 PECOS PAC ID: 1557684875 Enrollment ID: I20141217002150 |
| Provider Name | Ashleigh M Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457788192 PECOS PAC ID: 0143543496 Enrollment ID: I20141218000249 |
| Provider Name | Thelma L Conley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053583534 PECOS PAC ID: 2163747635 Enrollment ID: I20150205000280 |
| Provider Name | Ashley M Trueman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023395688 PECOS PAC ID: 9436474277 Enrollment ID: I20150219000128 |
| Provider Name | Shana Eve Richter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962789529 PECOS PAC ID: 2062738008 Enrollment ID: I20150310000666 |
| Provider Name | Gaurav Ashok Kulkarni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962714162 PECOS PAC ID: 9335374842 Enrollment ID: I20150707000887 |
| Provider Name | Julie Hargraves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396181236 PECOS PAC ID: 9335451707 Enrollment ID: I20150716002324 |
| Provider Name | Erum Z Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164735619 PECOS PAC ID: 2860705936 Enrollment ID: I20150717002021 |
| Provider Name | Melissa Jean Bruce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770966996 PECOS PAC ID: 7214240266 Enrollment ID: I20150720001857 |
| Provider Name | Amanda J Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629459367 PECOS PAC ID: 7012221310 Enrollment ID: I20150730012640 |
| Provider Name | Hillarie Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356725345 PECOS PAC ID: 7719291731 Enrollment ID: I20150805006932 |
| Provider Name | Natalie Abert Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942562897 PECOS PAC ID: 0840434403 Enrollment ID: I20150806010421 |
| Provider Name | Sarfaraz Jasdanwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851646665 PECOS PAC ID: 8426364258 Enrollment ID: I20150825003318 |
| Provider Name | Heather Dawn Krafve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649640657 PECOS PAC ID: 3173831245 Enrollment ID: I20151009001425 |
| Provider Name | Jeanine Louise Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225409162 PECOS PAC ID: 1557670296 Enrollment ID: I20151021000843 |
| Provider Name | Elizabeth M Rickard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427065887 PECOS PAC ID: 7416846266 Enrollment ID: I20151102002279 |
| Provider Name | Justin E Hampton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184001380 PECOS PAC ID: 9931419942 Enrollment ID: I20151103002336 |
| Provider Name | Hina Sarwar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417278474 PECOS PAC ID: 9537469424 Enrollment ID: I20151125000980 |
| Provider Name | Jennifer Nichole Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689915076 PECOS PAC ID: 1759682826 Enrollment ID: I20151214002324 |
| Provider Name | Jennifer L Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528433893 PECOS PAC ID: 7315248499 Enrollment ID: I20151214002672 |
| Provider Name | Debra Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093052961 PECOS PAC ID: 6608179130 Enrollment ID: I20160115002529 |
| Provider Name | Tosha Lynn Larson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114041308 PECOS PAC ID: 7416252887 Enrollment ID: I20160223000739 |
| Provider Name | Courtney Alexis Haynes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013376615 PECOS PAC ID: 3476858507 Enrollment ID: I20160226001006 |
| Provider Name | Eve Marie Teis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497144992 PECOS PAC ID: 1658677976 Enrollment ID: I20160314001104 |
| Provider Name | Grace Gombe Munthali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770949406 PECOS PAC ID: 0345547188 Enrollment ID: I20160323000187 |
| Provider Name | Amanda Frances Brumley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801054028 PECOS PAC ID: 6800959321 Enrollment ID: I20160411001772 |
| Provider Name | Amber Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366801938 PECOS PAC ID: 5092013813 Enrollment ID: I20160412001407 |
| Provider Name | Megan Kathleen Cates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740629815 PECOS PAC ID: 1557505120 Enrollment ID: I20160414000126 |
| Provider Name | Brandy Leeann Stufflebean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639542467 PECOS PAC ID: 0446558050 Enrollment ID: I20160415000377 |
| Provider Name | John Starke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114355633 PECOS PAC ID: 6002114436 Enrollment ID: I20160418001938 |
| Provider Name | Mary Ann Mennemeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780048975 PECOS PAC ID: 6305135427 Enrollment ID: I20160512001950 |
| Provider Name | Leah Elizabeth Pleasant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699133835 PECOS PAC ID: 4789974445 Enrollment ID: I20160608001534 |
| Provider Name | Lauren Komp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427471176 PECOS PAC ID: 4981994456 Enrollment ID: I20160613001305 |
| Provider Name | Lauren L Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699129387 PECOS PAC ID: 6800187170 Enrollment ID: I20160616000063 |
| Provider Name | Gretchen Kathleen Yahnke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942443460 PECOS PAC ID: 2365733524 Enrollment ID: I20160617000783 |
| Provider Name | Daniel C Lester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275959827 PECOS PAC ID: 7618263708 Enrollment ID: I20160916000486 |
| Provider Name | Jessica Ashley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912455866 PECOS PAC ID: 9931496536 Enrollment ID: I20160926001507 |
| Provider Name | John Michael Dandurand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225461098 PECOS PAC ID: 7214225994 Enrollment ID: I20161012002029 |
| Provider Name | Theresa Spakowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457800468 PECOS PAC ID: 9133417561 Enrollment ID: I20161018000476 |
| Provider Name | Melissa Leigh Rapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780136184 PECOS PAC ID: 7810275237 Enrollment ID: I20161104001281 |
| Provider Name | Stephanie M Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255734836 PECOS PAC ID: 0840514279 Enrollment ID: I20161117001008 |
| Provider Name | Ashley Nichole Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801338991 PECOS PAC ID: 8224317052 Enrollment ID: I20161117001659 |
| Provider Name | Elizabeth Ann Stever Geerlings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548705916 PECOS PAC ID: 8426339714 Enrollment ID: I20161228001055 |
| Provider Name | Mohammad Yousuf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942571476 PECOS PAC ID: 9234411943 Enrollment ID: I20170112001889 |
| Provider Name | Asif Saeed Choudhary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134560865 PECOS PAC ID: 4183850548 Enrollment ID: I20170131001288 |
| Provider Name | Amanda Creamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477092906 PECOS PAC ID: 6204119290 Enrollment ID: I20170217001262 |
| Provider Name | Judy Kaye Massman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184823239 PECOS PAC ID: 6507861812 Enrollment ID: I20170223002462 |
| Provider Name | Tonya Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588103493 PECOS PAC ID: 4587948815 Enrollment ID: I20170303001404 |
| Provider Name | Hadia Choudhry Crider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487094140 PECOS PAC ID: 0244514438 Enrollment ID: I20170308000282 |
| Provider Name | Ila Marie Morrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699187450 PECOS PAC ID: 3779869011 Enrollment ID: I20170420002389 |
| Provider Name | Ashley Elizabeth Burk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477089563 PECOS PAC ID: 7618244427 Enrollment ID: I20170530000199 |
| Provider Name | Devin Langendoerfer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245769017 PECOS PAC ID: 6002185568 Enrollment ID: I20170627002260 |
| Provider Name | Forrest J Rackham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972841484 PECOS PAC ID: 3274857198 Enrollment ID: I20170712003870 |
| Provider Name | Alexandra E Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699211748 PECOS PAC ID: 3577833144 Enrollment ID: I20170714002116 |
| Provider Name | Emily Marie Ghaly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164964839 PECOS PAC ID: 1052681954 Enrollment ID: I20170726001306 |
| Provider Name | Megan Ann Gore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336694710 PECOS PAC ID: 2961773171 Enrollment ID: I20170807002028 |
| Provider Name | Audrey Zweig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053715938 PECOS PAC ID: 8224309349 Enrollment ID: I20170808003971 |
| Provider Name | Alexander Myles Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679923247 PECOS PAC ID: 8820360068 Enrollment ID: I20170822003925 |
| Provider Name | Peggy Le Stark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730605999 PECOS PAC ID: 5395018048 Enrollment ID: I20170831002695 |
| Provider Name | Katie Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477076073 PECOS PAC ID: 0143593723 Enrollment ID: I20170901000926 |
| Provider Name | Ashley Nicole Tuten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649796350 PECOS PAC ID: 9032482591 Enrollment ID: I20170905001256 |
| Provider Name | Melissa Joy Webb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639503295 PECOS PAC ID: 6608141627 Enrollment ID: I20171002000981 |
| Provider Name | Theresa Marie Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457860819 PECOS PAC ID: 6507131240 Enrollment ID: I20171006000264 |
| Provider Name | Amanda Kingston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770924771 PECOS PAC ID: 8527334762 Enrollment ID: I20171016003173 |
| Provider Name | Gary W Harris |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1194849497 PECOS PAC ID: 8123339231 Enrollment ID: I20171025001965 |
| Provider Name | Brooklyn Allison Dejoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790297059 PECOS PAC ID: 1658647987 Enrollment ID: I20171031003021 |
| Provider Name | Kim Dawn Mcmillian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972013662 PECOS PAC ID: 9133485071 Enrollment ID: I20171109002590 |
| Provider Name | Bevila John-daniel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184757262 PECOS PAC ID: 8224063979 Enrollment ID: I20171207002305 |
| Provider Name | Christina Corinne Kirkendoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194237586 PECOS PAC ID: 7416215819 Enrollment ID: I20171212002153 |
| Provider Name | Kara Renee Armbruster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033624143 PECOS PAC ID: 6507124864 Enrollment ID: I20171215000124 |
| Provider Name | Erin E Jewell Burks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366869729 PECOS PAC ID: 4385946128 Enrollment ID: I20171215000922 |
| Provider Name | Erin Elizabeth Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306354998 PECOS PAC ID: 7517226582 Enrollment ID: I20180119001276 |
| Provider Name | Lori Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376950154 PECOS PAC ID: 9830458561 Enrollment ID: I20180125001263 |
| Provider Name | Jennifer L Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366822645 PECOS PAC ID: 7517227887 Enrollment ID: I20180206000070 |
| Provider Name | Megan Marie Yonker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033617790 PECOS PAC ID: 1951661834 Enrollment ID: I20180214002388 |
| Provider Name | Julie Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174067946 PECOS PAC ID: 7214298561 Enrollment ID: I20180228002548 |
| Provider Name | Ellen L Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245776707 PECOS PAC ID: 1355602251 Enrollment ID: I20180308002177 |
| Provider Name | Jessica R Demoret |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689178113 PECOS PAC ID: 9335401652 Enrollment ID: I20180327001327 |
| Provider Name | Tory Shad Spurgin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811495740 PECOS PAC ID: 7113280017 Enrollment ID: I20180405002172 |
| Provider Name | Diane Hendricks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891223558 PECOS PAC ID: 9931462777 Enrollment ID: I20180410000437 |
| Provider Name | Mandy Jean Witthuhn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699155945 PECOS PAC ID: 6204199896 Enrollment ID: I20180412001619 |
| Provider Name | Vanessa Michele Schmidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629418165 PECOS PAC ID: 4082977202 Enrollment ID: I20180420000776 |
| Provider Name | Oluwole Popoola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962819326 PECOS PAC ID: 7719241124 Enrollment ID: I20180511001981 |
| Provider Name | Rocksheng Zhong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205271897 PECOS PAC ID: 9537465596 Enrollment ID: I20180511002166 |
| Provider Name | Maysaa Sameer Nageeb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508273061 PECOS PAC ID: 5092936971 Enrollment ID: I20180620001105 |
| Provider Name | Katelyn Kolb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063905305 PECOS PAC ID: 2264787902 Enrollment ID: I20180620001387 |
| Provider Name | Elizabeth Simmons Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952733107 PECOS PAC ID: 2466707997 Enrollment ID: I20180625000107 |
| Provider Name | Jessica Hope Stacy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558789925 PECOS PAC ID: 6204181647 Enrollment ID: I20180626001502 |
| Provider Name | Ralph B Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275912107 PECOS PAC ID: 2567718828 Enrollment ID: I20180629000654 |
| Provider Name | Elham Fatima Abbas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538509062 PECOS PAC ID: 9032415005 Enrollment ID: I20180705000604 |
| Provider Name | Michelle Marie Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679894232 PECOS PAC ID: 6800159757 Enrollment ID: I20180706000192 |
| Provider Name | Jazab Sheikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043655186 PECOS PAC ID: 8820232705 Enrollment ID: I20180716001097 |
| Provider Name | Kamna Handa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093027633 PECOS PAC ID: 3072751106 Enrollment ID: I20180802002361 |
| Provider Name | Krystal Rose Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447631858 PECOS PAC ID: 7113239823 Enrollment ID: I20180905003145 |
| Provider Name | Marlee A Keele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013400357 PECOS PAC ID: 5092065029 Enrollment ID: I20180912001149 |
| Provider Name | Elizabeth Leuthold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487136156 PECOS PAC ID: 1759632524 Enrollment ID: I20180919000100 |
| Provider Name | Muhammad Ul Islam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861752685 PECOS PAC ID: 8224342936 Enrollment ID: I20180925001118 |
| Provider Name | Sarah Elizabeth Layton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073098554 PECOS PAC ID: 8527311653 Enrollment ID: I20181019000116 |
| Provider Name | Debbie Sharp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053378026 PECOS PAC ID: 5799038998 Enrollment ID: I20181105000716 |
| Provider Name | Sarah Elizabeth Lea |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295201622 PECOS PAC ID: 6002169281 Enrollment ID: I20181106000876 |
| Provider Name | Michelle R Daubendiek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154781821 PECOS PAC ID: 2668726746 Enrollment ID: I20181107002919 |
| Provider Name | Vivian Kamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568930154 PECOS PAC ID: 8426302829 Enrollment ID: I20181124000072 |
| Provider Name | Meagan Elizabeth Vincenz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164969705 PECOS PAC ID: 5496099426 Enrollment ID: I20181203001676 |
| Provider Name | Gary Paul Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669953709 PECOS PAC ID: 8123362837 Enrollment ID: I20181206003384 |
| Provider Name | Melissa Kay Schaumberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407333883 PECOS PAC ID: 7911241500 Enrollment ID: I20181210000390 |
| Provider Name | Dorna Everton Armbrister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285668210 PECOS PAC ID: 0840383865 Enrollment ID: I20181215000284 |
| Provider Name | Margaret Anne Ellett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326510215 PECOS PAC ID: 1456697291 Enrollment ID: I20190115002216 |
| Provider Name | Jayaprabha Lafontaine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003257833 PECOS PAC ID: 8729325287 Enrollment ID: I20190123000678 |
| Provider Name | Alexandra Elizabeth Schmitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639444888 PECOS PAC ID: 5395085245 Enrollment ID: I20190313000430 |
| Provider Name | Charity Lynette Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538101472 PECOS PAC ID: 4880934538 Enrollment ID: I20190318000231 |
| Provider Name | Marisha Lachelle Griffin-essex |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902243587 PECOS PAC ID: 1951641612 Enrollment ID: I20190318000628 |
| Provider Name | Megan Marie Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992263743 PECOS PAC ID: 1456691112 Enrollment ID: I20190318000844 |
| Provider Name | Lisa Marie Greenwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396202792 PECOS PAC ID: 9032459334 Enrollment ID: I20190325000670 |
| Provider Name | Craig Lee Moergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174724918 PECOS PAC ID: 6608117502 Enrollment ID: I20190402001866 |
| Provider Name | Kristen Nicole Garber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831650084 PECOS PAC ID: 2567703010 Enrollment ID: I20190410000195 |
| Provider Name | Monika Sreeja Thangada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629487764 PECOS PAC ID: 6204127103 Enrollment ID: I20190416001726 |
| Provider Name | Yi Deng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659790582 PECOS PAC ID: 4183965379 Enrollment ID: I20190417000794 |
| Provider Name | Megan Elizabeth Redwine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265906200 PECOS PAC ID: 0244571388 Enrollment ID: I20190418000076 |
| Provider Name | Carla L Maylee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598248882 PECOS PAC ID: 9133461155 Enrollment ID: I20190423001982 |
| Provider Name | Trevor Alan Knowles |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962419010 PECOS PAC ID: 9739499088 Enrollment ID: I20190515000043 |
| Provider Name | Leslye Gayle Schulte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851853519 PECOS PAC ID: 5294078101 Enrollment ID: I20190516001570 |
| Provider Name | Rachael Elizabeth Soles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467911149 PECOS PAC ID: 5597008367 Enrollment ID: I20190517001297 |
| Provider Name | Tiffany Ann Pruitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174180012 PECOS PAC ID: 1153655881 Enrollment ID: I20190628001083 |
| Provider Name | Jessica Kathleen Pangilinan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306401955 PECOS PAC ID: 2961736558 Enrollment ID: I20190702001559 |
| Provider Name | Amy O Puderbaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174878409 PECOS PAC ID: 9931420551 Enrollment ID: I20190722001455 |
| Provider Name | Elizabeth Patricia Mccadden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851943328 PECOS PAC ID: 3779819131 Enrollment ID: I20190724000652 |
| Provider Name | Syeda Uzma Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982081634 PECOS PAC ID: 7719289552 Enrollment ID: I20190727000288 |
| Provider Name | Virginia Avahnel Wingler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669033825 PECOS PAC ID: 7911233846 Enrollment ID: I20190730001951 |
| Provider Name | Julie Leber Kjorvestad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285052548 PECOS PAC ID: 0446557433 Enrollment ID: I20190807000172 |
| Provider Name | Emily D Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649744079 PECOS PAC ID: 0244567303 Enrollment ID: I20190812003477 |
| Provider Name | Rachael Lea Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124687462 PECOS PAC ID: 8628305729 Enrollment ID: I20190813001006 |
| Provider Name | Kimberly Knipp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043620370 PECOS PAC ID: 0749517647 Enrollment ID: I20190815001955 |
| Provider Name | Brittany Knuth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861995417 PECOS PAC ID: 9638406531 Enrollment ID: I20190815002020 |
| Provider Name | Richard S Campos |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1710530464 PECOS PAC ID: 4587992029 Enrollment ID: I20190822000914 |
| Provider Name | Femi Popoola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417307380 PECOS PAC ID: 9638462922 Enrollment ID: I20190919000102 |
| Provider Name | Dina Goodin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295391530 PECOS PAC ID: 2062324593 Enrollment ID: I20190919001700 |
| Provider Name | Nancy Jane Forgy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225690019 PECOS PAC ID: 8921338617 Enrollment ID: I20190923002585 |
| Provider Name | Allycia Nicole Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992257968 PECOS PAC ID: 9234469628 Enrollment ID: I20190927001437 |
| Provider Name | Jeanna Suzanne Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235780099 PECOS PAC ID: 5698006112 Enrollment ID: I20191015002497 |
| Provider Name | Lori E Maybrier |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164077392 PECOS PAC ID: 2163753369 Enrollment ID: I20191018000360 |
| Provider Name | Trina T. Mizer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093209561 PECOS PAC ID: 1254663461 Enrollment ID: I20191021002127 |
| Provider Name | Charity Clavey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114471679 PECOS PAC ID: 1456683689 Enrollment ID: I20191021002886 |
| Provider Name | Chaitanya Ravi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457723462 PECOS PAC ID: 4981907433 Enrollment ID: I20191022000738 |
| Provider Name | Angela Jo Faler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518432707 PECOS PAC ID: 7911239462 Enrollment ID: I20191101001091 |
| Provider Name | Sandra Ann Willis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851853923 PECOS PAC ID: 0749512127 Enrollment ID: I20191105000577 |
| Provider Name | Samad Nasaryab Hassan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922415751 PECOS PAC ID: 8426480682 Enrollment ID: I20191111000194 |
| Provider Name | Hannah Bledsoe Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891336038 PECOS PAC ID: 8224460258 Enrollment ID: I20191113002060 |
| Provider Name | Tiffany Colletta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942722459 PECOS PAC ID: 6305278789 Enrollment ID: I20191125000565 |
| Provider Name | Timothy Denny |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1588733984 PECOS PAC ID: 2062845373 Enrollment ID: I20191127000427 |
| Provider Name | Casey Larae Zook |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699114587 PECOS PAC ID: 5890128110 Enrollment ID: I20191127000852 |
| Provider Name | Robert D Dowdy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194033233 PECOS PAC ID: 6002039674 Enrollment ID: I20191213001709 |
| Provider Name | Sarah Marie Holcomb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710466891 PECOS PAC ID: 0749614741 Enrollment ID: I20191230000039 |
| Provider Name | Mary Cecelia Randell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760020234 PECOS PAC ID: 3476987181 Enrollment ID: I20200103002015 |
| Provider Name | Ada Youpha Kasapovic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710527866 PECOS PAC ID: 6204261308 Enrollment ID: I20200117002272 |
| Provider Name | Lucy Ying-ping Zee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508118928 PECOS PAC ID: 2961837695 Enrollment ID: I20200127001221 |
| Provider Name | Iroabuchi Augustine Idika |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730530676 PECOS PAC ID: 7911293444 Enrollment ID: I20200327001735 |
| Provider Name | Taylor R Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235769324 PECOS PAC ID: 9739519620 Enrollment ID: I20200416001148 |
| Provider Name | Pameal Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619312519 PECOS PAC ID: 1850721416 Enrollment ID: I20200422001078 |
| Provider Name | Lisa Marie Simon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578704540 PECOS PAC ID: 7315097094 Enrollment ID: I20200513000548 |
| Provider Name | Albert Crump |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518209527 PECOS PAC ID: 1658681101 Enrollment ID: I20200513001029 |
| Provider Name | Taylor Lin Montgomery Bridges |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598302226 PECOS PAC ID: 3779914452 Enrollment ID: I20200513001157 |
| Provider Name | Molly Tegerdine |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780017889 PECOS PAC ID: 3870883044 Enrollment ID: I20200527002502 |
| Provider Name | Courtney Ann Langston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700435740 PECOS PAC ID: 1951722461 Enrollment ID: I20200608002713 |
| Provider Name | Kristal Deann Raya |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1972005262 PECOS PAC ID: 9537580055 Enrollment ID: I20200608003021 |
| Provider Name | Katie Dominique Sammon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407470537 PECOS PAC ID: 4981025467 Enrollment ID: I20200609002969 |
| Provider Name | Jennifer Keeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962027235 PECOS PAC ID: 4981026176 Enrollment ID: I20200616002639 |
| Provider Name | Megan Elizabeth Moorkamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871147868 PECOS PAC ID: 0042632838 Enrollment ID: I20200624001832 |
| Provider Name | Lisa Ann Galeski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548894611 PECOS PAC ID: 6204258742 Enrollment ID: I20200630001192 |
| Provider Name | Jalaj Ahuja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144671876 PECOS PAC ID: 3072936178 Enrollment ID: I20200708001690 |
| Provider Name | Yanling Yan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205486529 PECOS PAC ID: 9133543671 Enrollment ID: I20200716003565 |
| Provider Name | Genevieve Latting |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245738301 PECOS PAC ID: 8426472994 Enrollment ID: I20200717000319 |
| Provider Name | Emily Aurelia Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932727674 PECOS PAC ID: 0749604528 Enrollment ID: I20200727002341 |
| Provider Name | Ashley Harvin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659725067 PECOS PAC ID: 3577857135 Enrollment ID: I20200728001925 |
| Provider Name | Maheen S Rehman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194106484 PECOS PAC ID: 3072862549 Enrollment ID: I20200731000348 |
| Provider Name | Sandhya Vallem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285002238 PECOS PAC ID: 2567701550 Enrollment ID: I20200803000858 |
| Provider Name | Maureen Bamfo-agyei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932724556 PECOS PAC ID: 7315362761 Enrollment ID: I20200803001749 |
| Provider Name | Sara Charleah Forrester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588274849 PECOS PAC ID: 3870918014 Enrollment ID: I20200804003052 |
| Provider Name | Jennifer Robyn Hays |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124349832 PECOS PAC ID: 9133495765 Enrollment ID: I20200810003064 |
| Provider Name | Tonja Renee G'sell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114140670 PECOS PAC ID: 6305263955 Enrollment ID: I20200828000160 |
| Provider Name | Taylor Shea Echele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003429002 PECOS PAC ID: 6406274323 Enrollment ID: I20200909002349 |
| Provider Name | Rachel Ann Shedd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902469117 PECOS PAC ID: 0840618716 Enrollment ID: I20200910000443 |
| Provider Name | A. Renee White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609482132 PECOS PAC ID: 1951720853 Enrollment ID: I20200925001938 |
| Provider Name | Jordan Lascuola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093208324 PECOS PAC ID: 4789004938 Enrollment ID: I20201009000739 |
| Provider Name | Rebecca Lynne Mooshegian Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295368504 PECOS PAC ID: 4385064161 Enrollment ID: I20201015003155 |
| Provider Name | Cynde Marie Patrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336748052 PECOS PAC ID: 4789094087 Enrollment ID: I20201027002119 |
| Provider Name | Vicki C Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649709809 PECOS PAC ID: 5395155667 Enrollment ID: I20201028001444 |
| Provider Name | Lauren Dailey Smalling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801496856 PECOS PAC ID: 8527478619 Enrollment ID: I20201030000938 |
| Provider Name | Jane Elizabeth Stilwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407342777 PECOS PAC ID: 8527497502 Enrollment ID: I20201120002125 |
| Provider Name | Jessica Rose Wood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982849329 PECOS PAC ID: 8022429133 Enrollment ID: I20201120002149 |
| Provider Name | Alyssa Marso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023610318 PECOS PAC ID: 7810308590 Enrollment ID: I20201202000160 |
| Provider Name | Jennifer Lyne Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356700496 PECOS PAC ID: 0345651022 Enrollment ID: I20201202000211 |
| Provider Name | Brianne Michelle Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699254722 PECOS PAC ID: 0547671075 Enrollment ID: I20201204000494 |
| Provider Name | Jessica Danielle Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801378823 PECOS PAC ID: 1456764745 Enrollment ID: I20210105002343 |
| Provider Name | Mary Alice Kelly Scherrer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528658937 PECOS PAC ID: 6709290331 Enrollment ID: I20210122000721 |
| Provider Name | Joseph Andrew Blanton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922585579 PECOS PAC ID: 6901210541 Enrollment ID: I20210122001117 |
| Provider Name | Sarah Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164021564 PECOS PAC ID: 4284048513 Enrollment ID: I20210128001257 |
| Provider Name | Jennie M Harvat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013518513 PECOS PAC ID: 7517372782 Enrollment ID: I20210222000256 |
| Provider Name | Danielle Aubuchon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013560432 PECOS PAC ID: 4587070081 Enrollment ID: I20210308002590 |
| Provider Name | Nicole Bethany Hardenburgh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194324343 PECOS PAC ID: 5294141404 Enrollment ID: I20210315000836 |
| Provider Name | Marina Francesca Antonucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407431356 PECOS PAC ID: 7416363460 Enrollment ID: I20210317000966 |
| Provider Name | Jennifer Lynn Whitter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295216380 PECOS PAC ID: 8729495676 Enrollment ID: I20210322001382 |
| Provider Name | Imran Hassan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902092695 PECOS PAC ID: 6103125307 Enrollment ID: I20210409000757 |
| Provider Name | Kylie Nichole Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366073322 PECOS PAC ID: 4880014158 Enrollment ID: I20210421000706 |
| Provider Name | Sarah Jane Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417536723 PECOS PAC ID: 4981012440 Enrollment ID: I20210421002362 |
| Provider Name | Dawn M Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982142253 PECOS PAC ID: 8628486115 Enrollment ID: I20210422000474 |
| Provider Name | Robynne M. Lute |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447345863 PECOS PAC ID: 7810056009 Enrollment ID: I20210510000756 |
| Provider Name | Shannon Liane Robinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639256738 PECOS PAC ID: 3779539572 Enrollment ID: I20210511000886 |
| Provider Name | Mandie Shannon Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467931410 PECOS PAC ID: 4183023427 Enrollment ID: I20210519000416 |
| Provider Name | Sarah Elizabeth Klos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063086585 PECOS PAC ID: 6901205095 Enrollment ID: I20210521000908 |
| Provider Name | Colin Arthur Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164915724 PECOS PAC ID: 6103171848 Enrollment ID: I20210616001446 |
| Provider Name | Michael George Baltes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104317643 PECOS PAC ID: 9234488321 Enrollment ID: I20210622001529 |
| Provider Name | John Thomas Buelter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548766405 PECOS PAC ID: 2062814528 Enrollment ID: I20210707001795 |
| Provider Name | Anthony P. Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154917649 PECOS PAC ID: 2769884808 Enrollment ID: I20210712002059 |
| Provider Name | Brittney Marie Rufkahr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447821871 PECOS PAC ID: 5991107047 Enrollment ID: I20210712002360 |
| Provider Name | Tiffany Marie Shader |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083014302 PECOS PAC ID: 1557763588 Enrollment ID: I20210713001706 |
| Provider Name | Heather Bond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679144844 PECOS PAC ID: 0547662579 Enrollment ID: I20210713001742 |
| Provider Name | Rachel Lyn Jewett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659844488 PECOS PAC ID: 2668874439 Enrollment ID: I20210715003515 |
| Provider Name | Ambika Kattula |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891226940 PECOS PAC ID: 9234409756 Enrollment ID: I20210719001040 |
| Provider Name | Debra A. Bacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922383413 PECOS PAC ID: 9436552007 Enrollment ID: I20210721000307 |
| Provider Name | Michele Enny Cleaveland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740591551 PECOS PAC ID: 3678976131 Enrollment ID: I20210722000322 |
| Provider Name | Amanda Kay Barkema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508442807 PECOS PAC ID: 3274936505 Enrollment ID: I20210726000241 |
| Provider Name | Christina M. Housewright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396418588 PECOS PAC ID: 0143624635 Enrollment ID: I20210805001000 |
| Provider Name | Hannah Elizabeth Prince |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154981009 PECOS PAC ID: 8426452970 Enrollment ID: I20210805003386 |
| Provider Name | Drew T Hutinger |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1629568019 PECOS PAC ID: 3870849003 Enrollment ID: I20210809002462 |
| Provider Name | Dana Marie Broaddus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114416955 PECOS PAC ID: 9830594266 Enrollment ID: I20210824002012 |
| Provider Name | Tristen Diane Winston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770936619 PECOS PAC ID: 9032453162 Enrollment ID: I20210907001707 |
| Provider Name | Charles Eli Welch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316443856 PECOS PAC ID: 1052646536 Enrollment ID: I20210930001767 |
| Provider Name | Steven Michael Majdecki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396232831 PECOS PAC ID: 8729486931 Enrollment ID: I20211001000964 |
| Provider Name | Rebecca M. Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821687567 PECOS PAC ID: 5496153587 Enrollment ID: I20211004001739 |
| Provider Name | Jacob David Perkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376995167 PECOS PAC ID: 0749688398 Enrollment ID: I20211012001627 |
| Provider Name | Gopinath Gorthy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831534460 PECOS PAC ID: 1759687353 Enrollment ID: I20211104002763 |
| Provider Name | Kathryn Elizabeth Hancock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174002216 PECOS PAC ID: 4688063548 Enrollment ID: I20211115001453 |
| Provider Name | Victoria Ann Zarillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447800065 PECOS PAC ID: 1557751641 Enrollment ID: I20211203001344 |
| Provider Name | Taiye Popoola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790277374 PECOS PAC ID: 4587919717 Enrollment ID: I20211206000716 |
| Provider Name | Anna Schild |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790184166 PECOS PAC ID: 6608266564 Enrollment ID: I20211208001070 |
| Provider Name | Joshua W Foster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700447190 PECOS PAC ID: 4284969973 Enrollment ID: I20211210000752 |
| Provider Name | Joel Saeger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306405717 PECOS PAC ID: 3971837816 Enrollment ID: I20211213000412 |
| Provider Name | Laura Ashley Prater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033889571 PECOS PAC ID: 2062802689 Enrollment ID: I20211214000296 |
| Provider Name | Abhay Suresh Dalal |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215698840 PECOS PAC ID: 5799177804 Enrollment ID: I20220124001031 |
| Provider Name | Eva Obirek |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295307973 PECOS PAC ID: 3072908078 Enrollment ID: I20220309001352 |
| Provider Name | Ashley Nicole Lapak |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1972096089 PECOS PAC ID: 3476948480 Enrollment ID: I20220309001988 |
| Provider Name | Mary Margaret Geiger |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548821515 PECOS PAC ID: 3173918190 Enrollment ID: I20220309002177 |
| Provider Name | Kelly Jobe |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1467891499 PECOS PAC ID: 4486049400 Enrollment ID: I20220309002494 |
| Provider Name | Robyn D Hayes |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548391220 PECOS PAC ID: 9638459753 Enrollment ID: I20220309002766 |
| Provider Name | Leah Norvell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831707181 PECOS PAC ID: 3971998931 Enrollment ID: I20220310000783 |
| Provider Name | Isaac Curtis Dains |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326574070 PECOS PAC ID: 7618300922 Enrollment ID: I20220310001309 |
| Provider Name | Michael Ryan Greaves |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1710416458 PECOS PAC ID: 9537433230 Enrollment ID: I20220310001820 |
| Provider Name | Hillary Brooklyn Schroeder |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104310655 PECOS PAC ID: 7618362500 Enrollment ID: I20220310002061 |
| Provider Name | Jennifer K Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417618059 PECOS PAC ID: 9234524125 Enrollment ID: I20220310002209 |
| Provider Name | Kevin Joseph Schmidt |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1851740070 PECOS PAC ID: 8921493818 Enrollment ID: I20220310002358 |
| Provider Name | Samantha L Mahoney |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316506280 PECOS PAC ID: 9739574666 Enrollment ID: I20220311000846 |
| Provider Name | Drew Matthew Williamson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063088524 PECOS PAC ID: 8224423157 Enrollment ID: I20220311001105 |
| Provider Name | Neeraj Trehan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104460260 PECOS PAC ID: 6901232891 Enrollment ID: I20220311001432 |
| Provider Name | Maria-antonia E Winemiller |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1770897035 PECOS PAC ID: 0749675437 Enrollment ID: I20220316000135 |
| Provider Name | Ijeoma Grace Juelich |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1285275552 PECOS PAC ID: 6002201795 Enrollment ID: I20220316000208 |
| Provider Name | Morgan Burgard |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1518526557 PECOS PAC ID: 3375870876 Enrollment ID: I20220324001309 |
| Provider Name | Meghan Nicole O'connor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801498738 PECOS PAC ID: 2163818006 Enrollment ID: I20220401001756 |
| Provider Name | John Randall Ashenbrener |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1972179539 PECOS PAC ID: 9133515554 Enrollment ID: I20220411001722 |
| Provider Name | Maggie Leigh Heiman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1811482326 PECOS PAC ID: 0143616540 Enrollment ID: I20220412002208 |
| Provider Name | Brandie Rachelle Reagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598287229 PECOS PAC ID: 7315334323 Enrollment ID: I20220421001461 |
| Provider Name | Rebecca Holman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669519070 PECOS PAC ID: 3173832466 Enrollment ID: I20220505002582 |
| Provider Name | Vincent Atsitty |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1598403164 PECOS PAC ID: 7618355041 Enrollment ID: I20220525002887 |
| Provider Name | Michael Price |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104564681 PECOS PAC ID: 7416335872 Enrollment ID: I20220526000774 |
| Provider Name | Taylor Leigh Rogers |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164001533 PECOS PAC ID: 4688052632 Enrollment ID: I20220602001581 |
| Provider Name | Gino Sanchez-meza |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841938016 PECOS PAC ID: 3870971849 Enrollment ID: I20220602002362 |
| Provider Name | Abena Mantebea Asante-mante |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508505868 PECOS PAC ID: 2769860642 Enrollment ID: I20220606000961 |
| Provider Name | Lisa M. Walton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285879528 PECOS PAC ID: 1153617212 Enrollment ID: I20220606001584 |
| Provider Name | Jessica R Melegrito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013663038 PECOS PAC ID: 5698153302 Enrollment ID: I20220609000311 |
| Provider Name | Michaela Kathryn Mabry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063046142 PECOS PAC ID: 7012395619 Enrollment ID: I20220610001307 |
| Provider Name | Sarah Murphy |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1952031148 PECOS PAC ID: 7517346042 Enrollment ID: I20220614000767 |
| Provider Name | Jerie Darlene Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821651027 PECOS PAC ID: 4082093927 Enrollment ID: I20220622003381 |
| Provider Name | Charles William Brinker |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104556604 PECOS PAC ID: 5294114047 Enrollment ID: I20220624000562 |
| Provider Name | Hailey Speck |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1851021356 PECOS PAC ID: 5890174650 Enrollment ID: I20220624001002 |
| Provider Name | Jacob Thomas Debeir |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568106375 PECOS PAC ID: 9830579390 Enrollment ID: I20220630002163 |
| Provider Name | Nathan Gabriel Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740822337 PECOS PAC ID: 3678954112 Enrollment ID: I20220715000216 |
| Provider Name | Jennifer Burney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326772211 PECOS PAC ID: 1355722539 Enrollment ID: I20220719002742 |
| Provider Name | Haylea Nichole Craigmiles |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1902384407 PECOS PAC ID: 5799169728 Enrollment ID: I20220825000654 |
| Provider Name | Leann Nicole Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235613480 PECOS PAC ID: 2163762279 Enrollment ID: I20220829000190 |
| Provider Name | Seth Brian Showalter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255756920 PECOS PAC ID: 5597140459 Enrollment ID: I20220914001108 |
| Provider Name | Harika Rao Mendu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1427618891 PECOS PAC ID: 1850776568 Enrollment ID: I20220916000480 |
| Provider Name | Annie Baro |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1174185805 PECOS PAC ID: 0547596207 Enrollment ID: I20220916001288 |
| Provider Name | Aldrin Aquino |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689236176 PECOS PAC ID: 3779815238 Enrollment ID: I20220916001347 |
| Provider Name | Moid N. Karwaa |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699255083 PECOS PAC ID: 5092190728 Enrollment ID: I20220916001709 |
| Provider Name | Jaedyn Bonner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548932973 PECOS PAC ID: 2264817865 Enrollment ID: I20220919000903 |
| Provider Name | Melissa Brooke Yearian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245996321 PECOS PAC ID: 8123403730 Enrollment ID: I20220919001216 |
| Provider Name | Terrie Haggey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730845165 PECOS PAC ID: 6901281393 Enrollment ID: I20220921002631 |
| Provider Name | Barri Wishne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326760166 PECOS PAC ID: 0244615532 Enrollment ID: I20220922003048 |
| Provider Name | Derrick Meyers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306501325 PECOS PAC ID: 6608252853 Enrollment ID: I20220926003104 |
| Provider Name | Neha Simron Batool |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487261640 PECOS PAC ID: 0749666717 Enrollment ID: I20220928001020 |
| Provider Name | Nicholas Reinagel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215463906 PECOS PAC ID: 9537545801 Enrollment ID: I20221011000589 |
| Provider Name | Macey Laplant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750037735 PECOS PAC ID: 8022484260 Enrollment ID: I20221013000947 |
| Provider Name | Katherine Donna Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871102657 PECOS PAC ID: 9638545544 Enrollment ID: I20221018002210 |
| Provider Name | Melissa A. Boerema |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457640641 PECOS PAC ID: 6709195902 Enrollment ID: I20221019001652 |
| Provider Name | Jessica Marie La Falce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063020360 PECOS PAC ID: 0345616975 Enrollment ID: I20221021001387 |
| Provider Name | Chelsey Marie Friend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932816113 PECOS PAC ID: 6507233632 Enrollment ID: I20221102002959 |
| Provider Name | Breanna M Venson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881201143 PECOS PAC ID: 5991172900 Enrollment ID: I20221104000136 |
| Provider Name | Jordan Hargrove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093329229 PECOS PAC ID: 6608243613 Enrollment ID: I20221104000220 |
| Provider Name | Kendra Elizabeth Hines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295442879 PECOS PAC ID: 3971970823 Enrollment ID: I20221104001951 |
| Provider Name | Heather Marie Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629733860 PECOS PAC ID: 3173990959 Enrollment ID: I20221108001486 |
| Provider Name | Kyley Samantha Dermody |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609457886 PECOS PAC ID: 8022419985 Enrollment ID: I20221110001452 |
| Provider Name | Kelsie Leigh Patek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821705799 PECOS PAC ID: 6103294400 Enrollment ID: I20221117000810 |
| Provider Name | Anna Catherine Hoskins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881303279 PECOS PAC ID: 0345618674 Enrollment ID: I20221117002441 |
| Provider Name | Amanda Leann Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093327637 PECOS PAC ID: 6204204084 Enrollment ID: I20221129001589 |
| Provider Name | Michelle Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619687910 PECOS PAC ID: 0840669446 Enrollment ID: I20221202001626 |
| Provider Name | Eric J Carbonell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801805791 PECOS PAC ID: 1456340660 Enrollment ID: I20221209001334 |
| Provider Name | Heather Marie Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467177329 PECOS PAC ID: 0840669602 Enrollment ID: I20221217000121 |
| Provider Name | Halie Christian Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720699283 PECOS PAC ID: 0345610077 Enrollment ID: I20221221001563 |
| Provider Name | Raysham Hayat |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255907101 PECOS PAC ID: 3779953401 Enrollment ID: I20221221001716 |
| Provider Name | Arlene Invencion |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114588548 PECOS PAC ID: 6305273681 Enrollment ID: I20230118002016 |
| Provider Name | Elizabeth Anne Geiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871174441 PECOS PAC ID: 0143691451 Enrollment ID: I20230125000287 |
| Provider Name | Jenna Beatman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780101030 PECOS PAC ID: 2264803592 Enrollment ID: I20230125001700 |
| Provider Name | Blake Alan Reeves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619599313 PECOS PAC ID: 5597136515 Enrollment ID: I20230130000665 |
| Provider Name | Kristen Lindsey Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356056899 PECOS PAC ID: 5294107769 Enrollment ID: I20230209001056 |
| Provider Name | Brittney Renee Haymer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801184254 PECOS PAC ID: 2668844069 Enrollment ID: I20230213001405 |
| Provider Name | Vamsi Mohan Narisetty |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1427718089 PECOS PAC ID: 1254703556 Enrollment ID: I20230215001058 |
| Provider Name | Jessica Renee Asbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427762335 PECOS PAC ID: 8729450929 Enrollment ID: I20230216002797 |
| Provider Name | Kelly Ann Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245889005 PECOS PAC ID: 6002241403 Enrollment ID: I20230217001384 |
| Provider Name | Jessica Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396452884 PECOS PAC ID: 4587037346 Enrollment ID: I20230227002429 |
| Provider Name | Carrie Ann French |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710600655 PECOS PAC ID: 9335512722 Enrollment ID: I20230306002272 |
| Provider Name | Maria Anna Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619645611 PECOS PAC ID: 3274906433 Enrollment ID: I20230309000142 |
| Provider Name | Carrie Lynn Miles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225632342 PECOS PAC ID: 4789058801 Enrollment ID: I20230313001236 |
| Provider Name | Caitlin Leeann Rosemann |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255909834 PECOS PAC ID: 6204200199 Enrollment ID: I20230315002788 |
| Provider Name | Megan Zychinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265138754 PECOS PAC ID: 2163896838 Enrollment ID: I20230320001719 |
| Provider Name | Peter Muigai Mwariri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841994043 PECOS PAC ID: 6204201353 Enrollment ID: I20230404000552 |
| Provider Name | Terry Pupillo Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194430983 PECOS PAC ID: 4385019231 Enrollment ID: I20230407000878 |
| Provider Name | Lauren Bernstein Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417426933 PECOS PAC ID: 8022483809 Enrollment ID: I20230410000467 |
| Provider Name | Amanda Gloria Enriquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962916676 PECOS PAC ID: 4981069887 Enrollment ID: I20230428000253 |
| Provider Name | Adrienne Kimball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275220394 PECOS PAC ID: 3173988847 Enrollment ID: I20230502002013 |
| Provider Name | Akosua Serwaa Hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306537303 PECOS PAC ID: 0446617690 Enrollment ID: I20230605000980 |
| Provider Name | Weston Drew Fulmer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1801585153 PECOS PAC ID: 9537526389 Enrollment ID: I20230609000207 |
| Provider Name | Toshani Arya |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699469312 PECOS PAC ID: 3971960758 Enrollment ID: I20230609001700 |
| Provider Name | Tyler Matthew Arpin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1538853015 PECOS PAC ID: 4486011129 Enrollment ID: I20230612000965 |
| Provider Name | Rehma Joseph Pereira |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1679267173 PECOS PAC ID: 7810354594 Enrollment ID: I20230612002243 |
| Provider Name | Tanisha Arya |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013601293 PECOS PAC ID: 1153788781 Enrollment ID: I20230613001008 |
| Provider Name | Truc Doan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396438792 PECOS PAC ID: 5496112070 Enrollment ID: I20230613002769 |
| Provider Name | Tyler Braidon Hook |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1285318436 PECOS PAC ID: 2466819040 Enrollment ID: I20230613002865 |
| Provider Name | Aaron Wewers Collier |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1629767827 PECOS PAC ID: 9234597865 Enrollment ID: I20230614001235 |
| Provider Name | Sarah Jane Elizabeth Gooding |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831873371 PECOS PAC ID: 9638537897 Enrollment ID: I20230620002034 |
| Provider Name | Elaine Andell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992480057 PECOS PAC ID: 7810355013 Enrollment ID: I20230621000270 |
| Provider Name | Jeremy Asher Gutovitz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1144919465 PECOS PAC ID: 9234597436 Enrollment ID: I20230621000398 |
| Provider Name | Esther Stetson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1205511755 PECOS PAC ID: 1456719376 Enrollment ID: I20230623002696 |
| Provider Name | Jacob P Thomas |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1942999230 PECOS PAC ID: 5092173989 Enrollment ID: I20230626001338 |
| Provider Name | Vu Ho |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1205512340 PECOS PAC ID: 4789042490 Enrollment ID: I20230627002824 |
| Provider Name | Daniel Hyeongjin Soh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386375178 PECOS PAC ID: 4587023676 Enrollment ID: I20230707001386 |
| Provider Name | Seth D Casey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609442219 PECOS PAC ID: 0749640472 Enrollment ID: I20230713000982 |
| Provider Name | Emma Lauren Karafa |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750071783 PECOS PAC ID: 3274993902 Enrollment ID: I20230713001074 |
| Provider Name | Jason Earl Reeves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871191437 PECOS PAC ID: 3173983764 Enrollment ID: I20230713003571 |
| Provider Name | Olivia Ann Collins |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1194456152 PECOS PAC ID: 5294195848 Enrollment ID: I20230714001812 |
| Provider Name | Christopher Cook |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1972098788 PECOS PAC ID: 1951761428 Enrollment ID: I20230714003108 |
| Provider Name | Claire Rebecca Freise |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1285201871 PECOS PAC ID: 3476913971 Enrollment ID: I20230715000232 |
| Provider Name | Olga Helms |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083107643 PECOS PAC ID: 0143680645 Enrollment ID: I20230715000431 |
| Provider Name | Jena Marie Hudkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780955732 PECOS PAC ID: 1456711852 Enrollment ID: I20230717003371 |
| Provider Name | Andrew Cary Sowle |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114250669 PECOS PAC ID: 3971800467 Enrollment ID: I20230718000806 |
| Provider Name | Rachel Nicole Schaeffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881278570 PECOS PAC ID: 6507226800 Enrollment ID: I20230718003938 |
| Provider Name | Jill Gallatin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750068953 PECOS PAC ID: 7416317342 Enrollment ID: I20230724002161 |
| Provider Name | Megan Lee Stayton |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1023708047 PECOS PAC ID: 6305207176 Enrollment ID: I20230727000655 |
| Provider Name | Eric Dean Wood |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1790353290 PECOS PAC ID: 4183085673 Enrollment ID: I20230731003843 |
| Provider Name | Angelica-marie Molina Puisis |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1659748010 PECOS PAC ID: 4880055268 Enrollment ID: I20230801004075 |
| Provider Name | Anna Katherine Wingo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215633268 PECOS PAC ID: 1759742182 Enrollment ID: I20230802001260 |
| Provider Name | Kelly L Ratz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114328275 PECOS PAC ID: 9931461860 Enrollment ID: I20230803000879 |
| Provider Name | Bruce C Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972629160 PECOS PAC ID: 3173984358 Enrollment ID: I20230803003852 |
| Provider Name | Stephanie Larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215408422 PECOS PAC ID: 5698136885 Enrollment ID: I20230803004006 |
| Provider Name | Megan Swaback |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902374549 PECOS PAC ID: 9830550029 Enrollment ID: I20230803004134 |
| Provider Name | Rene Michelle Killian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801102629 PECOS PAC ID: 1355703240 Enrollment ID: I20230809001061 |
| Provider Name | Ali Haider Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598227928 PECOS PAC ID: 4183048226 Enrollment ID: I20230809001941 |
| Provider Name | Chelsey Wetzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235827916 PECOS PAC ID: 1456713890 Enrollment ID: I20230816002205 |
| Provider Name | Megan Susanne Vitale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033163613 PECOS PAC ID: 5991167090 Enrollment ID: I20230821002405 |
| Provider Name | David John Eastham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710461942 PECOS PAC ID: 1557723616 Enrollment ID: I20230822001038 |
| Provider Name | Amanpreet Singh Sandhu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1588372528 PECOS PAC ID: 6800259722 Enrollment ID: I20230825000167 |
| Provider Name | Ching-ying Lai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427415579 PECOS PAC ID: 2668835471 Enrollment ID: I20230828000578 |
| Provider Name | Katherine Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629707625 PECOS PAC ID: 4385007020 Enrollment ID: I20230829003097 |
| Provider Name | Katie Jane Sommerich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093441545 PECOS PAC ID: 1456714195 Enrollment ID: I20230829003176 |
| Provider Name | Marta Zakovich |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1811772031 PECOS PAC ID: 8325401953 Enrollment ID: I20230830002455 |
| Provider Name | Christine Lynn Petty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134904394 PECOS PAC ID: 1456714872 Enrollment ID: I20230831002933 |
| Provider Name | Kelsey Anne Allison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326763343 PECOS PAC ID: 4789047184 Enrollment ID: I20230901001212 |
| Provider Name | Maura Kathleen Robinson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1306204037 PECOS PAC ID: 6901155233 Enrollment ID: I20230905001291 |
| Provider Name | Taylor Rae Soucy Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770192999 PECOS PAC ID: 0941664833 Enrollment ID: I20230911003573 |
| Provider Name | Nataliyah Donyelle Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992370449 PECOS PAC ID: 9739543588 Enrollment ID: I20230912002039 |
| Provider Name | Rahat Whig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104480474 PECOS PAC ID: 6608103957 Enrollment ID: I20230913003731 |
| Provider Name | Keri L Pruneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639953300 PECOS PAC ID: 4284098914 Enrollment ID: I20230914001247 |
| Provider Name | Tamar Maragh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356128318 PECOS PAC ID: 8921462334 Enrollment ID: I20230918002356 |
| Provider Name | Olakanmi Igbekele |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801180435 PECOS PAC ID: 0749610657 Enrollment ID: I20230919000769 |
| Provider Name | Nikole Marie Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922640846 PECOS PAC ID: 8325402795 Enrollment ID: I20230919000972 |
| Provider Name | Leena Kurre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205452398 PECOS PAC ID: 0244654598 Enrollment ID: I20230920003472 |
| Provider Name | Rebecca A Benes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033720123 PECOS PAC ID: 3072967314 Enrollment ID: I20230920003648 |
| Provider Name | Chandler Puhy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154046217 PECOS PAC ID: 7315391869 Enrollment ID: I20231002003233 |
| Provider Name | Clara Michelle Lynn Sands |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821628249 PECOS PAC ID: 9638523053 Enrollment ID: I20231003002594 |
| Provider Name | Sarah Claire Galvin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417672031 PECOS PAC ID: 6709230121 Enrollment ID: I20231003002737 |
| Provider Name | Christopher Matthew Worth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275108664 PECOS PAC ID: 8527413814 Enrollment ID: I20231005002581 |
| Provider Name | Jacob Levi Hughart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083287650 PECOS PAC ID: 7416302708 Enrollment ID: I20231005002658 |
| Provider Name | Geoffrey J Moeller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225205685 PECOS PAC ID: 1153777321 Enrollment ID: I20231024002108 |
| Provider Name | Alexis Erin Shields |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851969737 PECOS PAC ID: 5193171163 Enrollment ID: I20231026003449 |
| Provider Name | Morgan Renee Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639761679 PECOS PAC ID: 9830545466 Enrollment ID: I20231102000148 |
| Provider Name | Eliza Chenault |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578214136 PECOS PAC ID: 5799131363 Enrollment ID: I20231102002180 |
| Provider Name | James Houston Withers |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1871073072 PECOS PAC ID: 3173970704 Enrollment ID: I20231103001165 |
| Provider Name | Rene Proctor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245891696 PECOS PAC ID: 2062869282 Enrollment ID: I20231109002737 |
| Provider Name | Alison Marie Tempelmeier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093113466 PECOS PAC ID: 2567819253 Enrollment ID: I20231117001788 |
| Provider Name | Heather A Richter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124006556 PECOS PAC ID: 1951759679 Enrollment ID: I20231118000293 |
| Provider Name | Tammy M. Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003941147 PECOS PAC ID: 3476901067 Enrollment ID: I20231120002831 |
| Provider Name | Christopher E Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578549697 PECOS PAC ID: 1355799917 Enrollment ID: I20231121002157 |
| Provider Name | Jessica Anne Allison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487986048 PECOS PAC ID: 4587012158 Enrollment ID: I20231121002392 |
| Provider Name | Lauri L Ashlock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760983662 PECOS PAC ID: 6305294885 Enrollment ID: I20231121003281 |
| Provider Name | Kristin K Yach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134199706 PECOS PAC ID: 2466800958 Enrollment ID: I20231121003425 |
| Provider Name | Susan Wulff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295147692 PECOS PAC ID: 3173971660 Enrollment ID: I20231121003510 |
| Provider Name | Cindy Barnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528566072 PECOS PAC ID: 5193173607 Enrollment ID: I20231122000273 |
| Provider Name | Sarah Anne Banton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467067249 PECOS PAC ID: 8628426137 Enrollment ID: I20231122000337 |
| Provider Name | Amanda S Yochum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003335613 PECOS PAC ID: 7517315021 Enrollment ID: I20231122000371 |
| Provider Name | Julia C Barbagallo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417583683 PECOS PAC ID: 4880042399 Enrollment ID: I20231122000413 |
| Provider Name | Rebecca Lee Barney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891476008 PECOS PAC ID: 0143678656 Enrollment ID: I20231122000422 |
| Provider Name | Kristin Whitwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437676095 PECOS PAC ID: 5698123107 Enrollment ID: I20231122000432 |
| Provider Name | Benjamin Harvey Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245605856 PECOS PAC ID: 8224486733 Enrollment ID: I20231122000439 |
| Provider Name | Alexandria Zachary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407315377 PECOS PAC ID: 3678921186 Enrollment ID: I20231122000483 |
| Provider Name | Ashley Elizabeth Buchmeier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336574722 PECOS PAC ID: 0941658462 Enrollment ID: I20231122000521 |
| Provider Name | Sabrina Marie Tuttolomondo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285190280 PECOS PAC ID: 7012365539 Enrollment ID: I20231122000570 |
| Provider Name | Rebecca Lynn Steenburgen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568985786 PECOS PAC ID: 1557719077 Enrollment ID: I20231122000621 |
| Provider Name | Norma Jan Turley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700366796 PECOS PAC ID: 3375991896 Enrollment ID: I20231122000626 |
| Provider Name | Kerry Alice Chrysalis Bursley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780192856 PECOS PAC ID: 1456709971 Enrollment ID: I20231122000655 |
| Provider Name | Melyssa Zoellner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477069359 PECOS PAC ID: 3173971694 Enrollment ID: I20231122000702 |
| Provider Name | Charlene Kay Atkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003075482 PECOS PAC ID: 9436507951 Enrollment ID: I20231122000730 |
| Provider Name | Carolyn Marie Baty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285703736 PECOS PAC ID: 4789032202 Enrollment ID: I20231122000834 |
| Provider Name | Anthony Douglas Sokolic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790057271 PECOS PAC ID: 8921456450 Enrollment ID: I20231122000960 |
| Provider Name | Christina Maire Spalding |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083187462 PECOS PAC ID: 4385092816 Enrollment ID: I20231122000970 |
| Provider Name | Terry B Austin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255859336 PECOS PAC ID: 8820446354 Enrollment ID: I20231122001003 |
| Provider Name | Annie Joy Schaeffer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265006779 PECOS PAC ID: 0547618076 Enrollment ID: I20231122001061 |
| Provider Name | Patsy Weber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225574767 PECOS PAC ID: 4183072614 Enrollment ID: I20231122001065 |
| Provider Name | Erica Rowe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538520184 PECOS PAC ID: 0446608970 Enrollment ID: I20231122001084 |
| Provider Name | Heath Sanders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538606199 PECOS PAC ID: 1355799883 Enrollment ID: I20231122001086 |
| Provider Name | Stacey Ann Roth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659359800 PECOS PAC ID: 3173971603 Enrollment ID: I20231122001089 |
| Provider Name | Senajda Selimovic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932683117 PECOS PAC ID: 5991153421 Enrollment ID: I20231122001109 |
| Provider Name | Rhonda A Saputo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053488155 PECOS PAC ID: 2163870692 Enrollment ID: I20231122001122 |
| Provider Name | Danielle Leann Rolph |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144831496 PECOS PAC ID: 3072961507 Enrollment ID: I20231122001124 |
| Provider Name | Kyle Privett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124520796 PECOS PAC ID: 4981052412 Enrollment ID: I20231122001126 |
| Provider Name | Megan Skiera-novotny |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720453749 PECOS PAC ID: 5890143325 Enrollment ID: I20231122001127 |
| Provider Name | Larissa Chandrima Kaiulani Proctor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164015673 PECOS PAC ID: 9335597863 Enrollment ID: I20231122001154 |
| Provider Name | Nasheena A Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740681782 PECOS PAC ID: 8325496854 Enrollment ID: I20231122001179 |
| Provider Name | Courtney Pollard-thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811636889 PECOS PAC ID: 3870941305 Enrollment ID: I20231122001196 |
| Provider Name | Meghan Lee Pitts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851065635 PECOS PAC ID: 4789032210 Enrollment ID: I20231122001199 |
| Provider Name | Carrie Rae Shannon Rigdon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780190405 PECOS PAC ID: 9234587775 Enrollment ID: I20231122001210 |
| Provider Name | Victoria Picha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760144240 PECOS PAC ID: 7315395852 Enrollment ID: I20231122001240 |
| Provider Name | Denise Ann Ponds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750974978 PECOS PAC ID: 9133577679 Enrollment ID: I20231122001241 |
| Provider Name | Kaitlyn Rae Pomerleau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598142358 PECOS PAC ID: 7214385756 Enrollment ID: I20231122001253 |
| Provider Name | Christine Ray Twyman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700409463 PECOS PAC ID: 7113375650 Enrollment ID: I20231122001278 |
| Provider Name | Amy Lynn Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992088876 PECOS PAC ID: 4385092824 Enrollment ID: I20231122001337 |
| Provider Name | Ginger Ann Price |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275175499 PECOS PAC ID: 0547618084 Enrollment ID: I20231122001431 |
| Provider Name | Lana L Whitehead |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871130195 PECOS PAC ID: 4981052420 Enrollment ID: I20231122001521 |
| Provider Name | Laura E Bilsland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003932211 PECOS PAC ID: 6709234248 Enrollment ID: I20231122001528 |
| Provider Name | Danielle Bealmear |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104328210 PECOS PAC ID: 2062860505 Enrollment ID: I20231122001543 |
| Provider Name | Kaliesha Patchelle Walker- Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811613144 PECOS PAC ID: 4880042324 Enrollment ID: I20231122001554 |
| Provider Name | Kelsey Lynn Betts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891379533 PECOS PAC ID: 6103153739 Enrollment ID: I20231122001564 |
| Provider Name | Melissa R Bell-englehart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841812948 PECOS PAC ID: 0840648390 Enrollment ID: I20231122001707 |
| Provider Name | Lisa Wilette Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710579701 PECOS PAC ID: 1557719002 Enrollment ID: I20231122001796 |
| Provider Name | Mary Schwenck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568964237 PECOS PAC ID: 0345698890 Enrollment ID: I20231122001905 |
| Provider Name | Kimberly M Baty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801211479 PECOS PAC ID: 4789032244 Enrollment ID: I20231122002072 |
| Provider Name | Christine Renee Whitworth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184014946 PECOS PAC ID: 1850749318 Enrollment ID: I20231122002135 |
| Provider Name | Valerie Beckett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700201910 PECOS PAC ID: 6103274667 Enrollment ID: I20231122002178 |
| Provider Name | Amanda Bloodworth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164819264 PECOS PAC ID: 6507214962 Enrollment ID: I20231122002411 |
| Provider Name | Adrienne Michelle Birge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609136027 PECOS PAC ID: 2860840220 Enrollment ID: I20231122002444 |
| Provider Name | Christy Michele Bledsoe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538757646 PECOS PAC ID: 8123476587 Enrollment ID: I20231122002465 |
| Provider Name | Ryan Lynn Bond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538827472 PECOS PAC ID: 6204284664 Enrollment ID: I20231122002536 |
| Provider Name | Maureen Bishop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548711807 PECOS PAC ID: 3476901836 Enrollment ID: I20231122002555 |
| Provider Name | Anna Marie Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679793798 PECOS PAC ID: 0648628008 Enrollment ID: I20231122002583 |
| Provider Name | Peggy L Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598849341 PECOS PAC ID: 2365757705 Enrollment ID: I20231122002588 |
| Provider Name | Tia R Webb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699956243 PECOS PAC ID: 6002264462 Enrollment ID: I20231122002605 |
| Provider Name | Heather Anne Borah |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548579436 PECOS PAC ID: 6901254366 Enrollment ID: I20231122002654 |
| Provider Name | Julie Boulware |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891149407 PECOS PAC ID: 4082062450 Enrollment ID: I20231122002718 |
| Provider Name | Barry Leon Wainwright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407419021 PECOS PAC ID: 6800244278 Enrollment ID: I20231122002726 |
| Provider Name | Victoria E Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306352034 PECOS PAC ID: 8527416999 Enrollment ID: I20231122002736 |
| Provider Name | Kristin Lynn Browning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639373186 PECOS PAC ID: 0042668410 Enrollment ID: I20231122002863 |
| Provider Name | Elisha Stout |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295239929 PECOS PAC ID: 6406204874 Enrollment ID: I20231122002898 |
| Provider Name | Suzanne Sparks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891246997 PECOS PAC ID: 1850749227 Enrollment ID: I20231122002910 |
| Provider Name | John Matthew Stalker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427489624 PECOS PAC ID: 9931557303 Enrollment ID: I20231122002931 |
| Provider Name | Janet Lynn Burns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699103168 PECOS PAC ID: 1759739121 Enrollment ID: I20231122002943 |
| Provider Name | William M Budding |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679849244 PECOS PAC ID: 8921456393 Enrollment ID: I20231122002961 |
| Provider Name | Amanda E. Spencer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538673686 PECOS PAC ID: 4284082652 Enrollment ID: I20231122003010 |
| Provider Name | Elizabeth Talley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598140899 PECOS PAC ID: 4284082660 Enrollment ID: I20231122003051 |
| Provider Name | Ashley Fawn Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538839402 PECOS PAC ID: 4082062468 Enrollment ID: I20231122003119 |
| Provider Name | Dawn E Milburn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629498308 PECOS PAC ID: 4486915204 Enrollment ID: I20231125000270 |
| Provider Name | Michelle Lee Concho |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265923924 PECOS PAC ID: 2769830181 Enrollment ID: I20231127000260 |
| Provider Name | Kara Mizell Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730769001 PECOS PAC ID: 4486002805 Enrollment ID: I20231127000270 |
| Provider Name | Michele Ernst Christman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073156998 PECOS PAC ID: 9830547256 Enrollment ID: I20231127000293 |
| Provider Name | Pamela A Seng |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497414163 PECOS PAC ID: 0648628065 Enrollment ID: I20231127000338 |
| Provider Name | Kristy L Celeslie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235255407 PECOS PAC ID: 1557719978 Enrollment ID: I20231127000345 |
| Provider Name | Megan Lauryn Cole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386310944 PECOS PAC ID: 1355799776 Enrollment ID: I20231127000388 |
| Provider Name | Rhonda L Owen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962919936 PECOS PAC ID: 6709234123 Enrollment ID: I20231127000424 |
| Provider Name | Tonie L Foster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700862299 PECOS PAC ID: 3870941297 Enrollment ID: I20231127000482 |
| Provider Name | Jeremy Ferkel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023468568 PECOS PAC ID: 6507214939 Enrollment ID: I20231127000520 |
| Provider Name | Tim Fasnacht |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487915013 PECOS PAC ID: 7315395746 Enrollment ID: I20231127000521 |
| Provider Name | Robin L Wilkerson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740845627 PECOS PAC ID: 0941658371 Enrollment ID: I20231127000576 |
| Provider Name | Kelcee B Pedersen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760033922 PECOS PAC ID: 2668820093 Enrollment ID: I20231127000626 |
| Provider Name | Angel R. Menefee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134709900 PECOS PAC ID: 7012365448 Enrollment ID: I20231127000646 |
| Provider Name | John Adam Melone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740816792 PECOS PAC ID: 8729436159 Enrollment ID: I20231127000720 |
| Provider Name | Melissa Kay Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881172641 PECOS PAC ID: 1456709880 Enrollment ID: I20231127000730 |
| Provider Name | Amber Marie Simpson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780816264 PECOS PAC ID: 3072961408 Enrollment ID: I20231127000811 |
| Provider Name | Angela Kay Meyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669017646 PECOS PAC ID: 0244688687 Enrollment ID: I20231127000884 |
| Provider Name | Sara Elizabeth Quick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184276883 PECOS PAC ID: 8325496763 Enrollment ID: I20231127000906 |
| Provider Name | Derenda Ofori |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912615022 PECOS PAC ID: 0648628081 Enrollment ID: I20231127001115 |
| Provider Name | Rochelle Marie Morgan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164054151 PECOS PAC ID: 0244688695 Enrollment ID: I20231127001292 |
| Provider Name | Steven Scott Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366951824 PECOS PAC ID: 4789032137 Enrollment ID: I20231127001352 |
| Provider Name | Karen L. Chaney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285182279 PECOS PAC ID: 7315395761 Enrollment ID: I20231127001367 |
| Provider Name | Brittany Anyce Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063027563 PECOS PAC ID: 8820446271 Enrollment ID: I20231127001546 |
| Provider Name | Julia Ann Collier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497112635 PECOS PAC ID: 8729436175 Enrollment ID: I20231127001582 |
| Provider Name | Rebecca Elaine Eschmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982942249 PECOS PAC ID: 3678921921 Enrollment ID: I20231127001880 |
| Provider Name | Elise Marie Eichberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992299176 PECOS PAC ID: 4587012836 Enrollment ID: I20231127001881 |
| Provider Name | Lynn Marie Rainey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952886160 PECOS PAC ID: 3476901729 Enrollment ID: I20231127001920 |
| Provider Name | Felicia Farmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649717273 PECOS PAC ID: 8820446172 Enrollment ID: I20231127001929 |
| Provider Name | Kelli Niehaus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215594759 PECOS PAC ID: 2365890613 Enrollment ID: I20231127001985 |
| Provider Name | Kimberly Farris-wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285149393 PECOS PAC ID: 9335597699 Enrollment ID: I20231127002117 |
| Provider Name | Kimberly Exton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083117972 PECOS PAC ID: 0840648101 Enrollment ID: I20231127002206 |
| Provider Name | Jordan Larsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386356822 PECOS PAC ID: 4789045170 Enrollment ID: I20231127002341 |
| Provider Name | Kelly Ann Cissell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225300759 PECOS PAC ID: 2567880453 Enrollment ID: I20231127002397 |
| Provider Name | Caroline Estes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073091948 PECOS PAC ID: 2961850235 Enrollment ID: I20231127002484 |
| Provider Name | Lisa Kay Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245760974 PECOS PAC ID: 0648628925 Enrollment ID: I20231127002734 |
| Provider Name | Rebecca Kay Wallace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033765896 PECOS PAC ID: 6800244187 Enrollment ID: I20231127002873 |
| Provider Name | Nancy Jane Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538322284 PECOS PAC ID: 7517315898 Enrollment ID: I20231127002921 |
| Provider Name | Stephanie Renee Mcright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861945271 PECOS PAC ID: 9335597616 Enrollment ID: I20231127002933 |
| Provider Name | Gina L Staley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629585419 PECOS PAC ID: 2860840147 Enrollment ID: I20231127003028 |
| Provider Name | Lisa Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992283477 PECOS PAC ID: 9739537036 Enrollment ID: I20231128000200 |
| Provider Name | Nicholas Edward O'brien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285143941 PECOS PAC ID: 5597113894 Enrollment ID: I20231128000472 |
| Provider Name | Jennifer Michelle Mcquaide |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962946244 PECOS PAC ID: 0941658256 Enrollment ID: I20231128000528 |
| Provider Name | Shana Terese Norton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174213144 PECOS PAC ID: 8921456237 Enrollment ID: I20231128000597 |
| Provider Name | William James Mckenzie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285123968 PECOS PAC ID: 1456709765 Enrollment ID: I20231128000710 |
| Provider Name | Hallie Elyse Bergen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922542240 PECOS PAC ID: 9436507746 Enrollment ID: I20231128000767 |
| Provider Name | Jennifer L Mcmahon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568117182 PECOS PAC ID: 8325496631 Enrollment ID: I20231128000840 |
| Provider Name | Melody R Corbin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710520846 PECOS PAC ID: 2860840188 Enrollment ID: I20231128000907 |
| Provider Name | Sandra Mcmahan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215182894 PECOS PAC ID: 2567810880 Enrollment ID: I20231128001048 |
| Provider Name | Marissa Rae Abbott |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1780163436 PECOS PAC ID: 5890993745 Enrollment ID: I20231128001210 |
| Provider Name | Shannon Maire O'driscoll-douglas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700478427 PECOS PAC ID: 9133577463 Enrollment ID: I20231128001382 |
| Provider Name | Derrick Leighton Carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245710045 PECOS PAC ID: 0941658272 Enrollment ID: I20231128001434 |
| Provider Name | Lisa Novotny |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013697630 PECOS PAC ID: 2163870403 Enrollment ID: I20231128001665 |
| Provider Name | Danielle Diane Alvarez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629762943 PECOS PAC ID: 2860849395 Enrollment ID: I20231128001673 |
| Provider Name | Sindy Armstrong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902931165 PECOS PAC ID: 7214385558 Enrollment ID: I20231128001786 |
| Provider Name | Giau Nguyen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710634720 PECOS PAC ID: 9830547173 Enrollment ID: I20231128001857 |
| Provider Name | Ricky Nelson Mccoy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578113536 PECOS PAC ID: 5991153231 Enrollment ID: I20231128002005 |
| Provider Name | Melanie D. Mcdole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851879811 PECOS PAC ID: 6507214749 Enrollment ID: I20231128002153 |
| Provider Name | Stephanie Yvonne Mcfadden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417344854 PECOS PAC ID: 2264880418 Enrollment ID: I20231128002452 |
| Provider Name | Cara Marie Riley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457982316 PECOS PAC ID: 0042668295 Enrollment ID: I20231128002574 |
| Provider Name | Breora Page |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093473001 PECOS PAC ID: 3274981436 Enrollment ID: I20231128002892 |
| Provider Name | Kelly J Mccormack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497464481 PECOS PAC ID: 3072961234 Enrollment ID: I20231128002975 |
| Provider Name | Gary Bruce Nash |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578995387 PECOS PAC ID: 9234587494 Enrollment ID: I20231128003029 |
| Provider Name | Meredith Leigh Spezia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790111441 PECOS PAC ID: 7012365273 Enrollment ID: I20231128003161 |
| Provider Name | Natasha K Eberhart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184333734 PECOS PAC ID: 7416305628 Enrollment ID: I20231129000853 |
| Provider Name | Stephanie J Costello |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861766503 PECOS PAC ID: 9335597558 Enrollment ID: I20231129001280 |
| Provider Name | Andrea L Cuneio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295851616 PECOS PAC ID: 3678921897 Enrollment ID: I20231129001401 |
| Provider Name | Necole Layer Olmstead |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700089067 PECOS PAC ID: 1658672985 Enrollment ID: I20231129001628 |
| Provider Name | Brittany Craden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043788680 PECOS PAC ID: 7618325838 Enrollment ID: I20231129001642 |
| Provider Name | Morgaine Denison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962072520 PECOS PAC ID: 3274981402 Enrollment ID: I20231129001989 |
| Provider Name | Angela Nicole Dockins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871872218 PECOS PAC ID: 9335597475 Enrollment ID: I20231129002619 |
| Provider Name | Natalie Louise Mozee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376007047 PECOS PAC ID: 1759739808 Enrollment ID: I20231129003192 |
| Provider Name | Jennifer K Doyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295291672 PECOS PAC ID: 7416305578 Enrollment ID: I20231129003511 |
| Provider Name | Megan Kelly Kartheiser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194262253 PECOS PAC ID: 0749638815 Enrollment ID: I20231129003675 |
| Provider Name | Shannon Myszka |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821730839 PECOS PAC ID: 6204284391 Enrollment ID: I20231130000483 |
| Provider Name | Kelley S. Sims |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013419043 PECOS PAC ID: 5395083174 Enrollment ID: I20231130000914 |
| Provider Name | Kelly R. Morris-duhamell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174697361 PECOS PAC ID: 7618325713 Enrollment ID: I20231130001038 |
| Provider Name | Michael J Luley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649321829 PECOS PAC ID: 5395193411 Enrollment ID: I20231130001717 |
| Provider Name | Amanda Dee Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851704159 PECOS PAC ID: 0648628586 Enrollment ID: I20231202000224 |
| Provider Name | Katherine Anne Rufle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588948731 PECOS PAC ID: 2567810419 Enrollment ID: I20231202000628 |
| Provider Name | Kristina Behrman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144686304 PECOS PAC ID: 0648628537 Enrollment ID: I20231204001365 |
| Provider Name | Ria Newcomb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306344544 PECOS PAC ID: 3476901257 Enrollment ID: I20231205001454 |
| Provider Name | Eric Maurice Vinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942579453 PECOS PAC ID: 9133578958 Enrollment ID: I20231205003367 |
| Provider Name | Christopher B. Mccollum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326639436 PECOS PAC ID: 1355790106 Enrollment ID: I20231206000495 |
| Provider Name | Sarah Marie Mudd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336509272 PECOS PAC ID: 3971952722 Enrollment ID: I20231206000552 |
| Provider Name | Jessica Lee Ann Mcbrayer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881657534 PECOS PAC ID: 2961851712 Enrollment ID: I20231206000568 |
| Provider Name | Cynthia L Vessell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851416218 PECOS PAC ID: 9133578909 Enrollment ID: I20231206001082 |
| Provider Name | Jamie R. Manning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932681004 PECOS PAC ID: 3678922440 Enrollment ID: I20231206001130 |
| Provider Name | Jacklyn League |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437642402 PECOS PAC ID: 2860841640 Enrollment ID: I20231206001605 |
| Provider Name | Julie Mackey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811598956 PECOS PAC ID: 6002265881 Enrollment ID: I20231206001821 |
| Provider Name | Jennifer Marie Loretta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124211412 PECOS PAC ID: 7618326398 Enrollment ID: I20231206001948 |
| Provider Name | Lindsey Knopes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790234904 PECOS PAC ID: 8527417211 Enrollment ID: I20231206002358 |
| Provider Name | Natalie J Maley-bill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093846917 PECOS PAC ID: 9032568720 Enrollment ID: I20231206002493 |
| Provider Name | Amber Elizabeth Langdon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235731597 PECOS PAC ID: 1850740549 Enrollment ID: I20231206002500 |
| Provider Name | Richard J Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952828485 PECOS PAC ID: 9931558624 Enrollment ID: I20231206002521 |
| Provider Name | Amy Marie Knobbe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417170051 PECOS PAC ID: 3476902164 Enrollment ID: I20231206002582 |
| Provider Name | Elizabeth K Kreminski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700278942 PECOS PAC ID: 7911356605 Enrollment ID: I20231206002589 |
| Provider Name | Michael Knoll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710581269 PECOS PAC ID: 9739538422 Enrollment ID: I20231206002595 |
| Provider Name | William Klass |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194287045 PECOS PAC ID: 9739538430 Enrollment ID: I20231206002640 |
| Provider Name | Barbara E Kuchta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467439679 PECOS PAC ID: 2264881960 Enrollment ID: I20231206002724 |
| Provider Name | Kurt Frederick Kleinschmidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699239111 PECOS PAC ID: 8426407123 Enrollment ID: I20231206002771 |
| Provider Name | Sara Rebecca Krska |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104335959 PECOS PAC ID: 5597114298 Enrollment ID: I20231206002898 |
| Provider Name | Cynthia Denise Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497390959 PECOS PAC ID: 0749639458 Enrollment ID: I20231206003072 |
| Provider Name | Stephanie N. Lane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770199093 PECOS PAC ID: 1658720362 Enrollment ID: I20231206003073 |
| Provider Name | Kayla Dawn Kirkland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649848060 PECOS PAC ID: 8224487939 Enrollment ID: I20231206003399 |
| Provider Name | Toni Louise Turigliatto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255006763 PECOS PAC ID: 7012366735 Enrollment ID: I20231206003579 |
| Provider Name | Lauren Lofrano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003297490 PECOS PAC ID: 2961851605 Enrollment ID: I20231207000526 |
| Provider Name | Kevin Joseph Kidd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770609901 PECOS PAC ID: 5092164665 Enrollment ID: I20231207002019 |
| Provider Name | Crystal Renee Kiefer-figge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295961407 PECOS PAC ID: 5395194971 Enrollment ID: I20231207002277 |
| Provider Name | Tina Marie Kirchner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942739883 PECOS PAC ID: 6103275797 Enrollment ID: I20231207002775 |
| Provider Name | Zafar Khan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801420054 PECOS PAC ID: 6709235302 Enrollment ID: I20231207002963 |
| Provider Name | Andrew R Dilisio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760164396 PECOS PAC ID: 4587013198 Enrollment ID: I20231207003629 |
| Provider Name | Martha Lynne Metter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609072412 PECOS PAC ID: 6901255520 Enrollment ID: I20231207003830 |
| Provider Name | Alexandra Elisabeth Kohnen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972137909 PECOS PAC ID: 2769831304 Enrollment ID: I20231208000246 |
| Provider Name | Jason L. Kearbey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083360861 PECOS PAC ID: 6103275755 Enrollment ID: I20231208000663 |
| Provider Name | William Todd Kolenda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336345404 PECOS PAC ID: 3779932330 Enrollment ID: I20231208000893 |
| Provider Name | Mckenzie D Hale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427652429 PECOS PAC ID: 1557710027 Enrollment ID: I20231208001880 |
| Provider Name | Donna Ann Wood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891143707 PECOS PAC ID: 8325497811 Enrollment ID: I20231208002498 |
| Provider Name | Jasmin S Casner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487221115 PECOS PAC ID: 4486003977 Enrollment ID: I20231208002665 |
| Provider Name | Gary Ellul |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669996583 PECOS PAC ID: 2365891876 Enrollment ID: I20231208003266 |
| Provider Name | David Stephen Garro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750883831 PECOS PAC ID: 3779932280 Enrollment ID: I20231209000113 |
| Provider Name | Jennifer Jill Kemp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598368318 PECOS PAC ID: 4486003902 Enrollment ID: I20231209000212 |
| Provider Name | Kimberly Kemerer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508316761 PECOS PAC ID: 2567811086 Enrollment ID: I20231209000235 |
| Provider Name | Rachel Elizabeth Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013561562 PECOS PAC ID: 3375992894 Enrollment ID: I20231209000262 |
| Provider Name | Keith Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568910222 PECOS PAC ID: 8628427143 Enrollment ID: I20231209000315 |
| Provider Name | Jane Allison Gavril |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902300197 PECOS PAC ID: 4981053402 Enrollment ID: I20231209000351 |
| Provider Name | Stephanie Ann Martensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477672749 PECOS PAC ID: 8325497845 Enrollment ID: I20231209000417 |
| Provider Name | Gregory Brock Hussey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427496363 PECOS PAC ID: 0941659478 Enrollment ID: I20231209000538 |
| Provider Name | Gayle Lee Kemper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447874136 PECOS PAC ID: 2769831296 Enrollment ID: I20231209000554 |
| Provider Name | Annjeanette Hubbard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932692514 PECOS PAC ID: 3678922101 Enrollment ID: I20231209000560 |
| Provider Name | Emma J Franklin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780467944 PECOS PAC ID: 3779932223 Enrollment ID: I20231211000323 |
| Provider Name | Emily Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972018836 PECOS PAC ID: 2264881713 Enrollment ID: I20231211000534 |
| Provider Name | Stephanie Gelaine Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184933566 PECOS PAC ID: 8729437181 Enrollment ID: I20231211000768 |
| Provider Name | Michelle Catherine Horvath |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164783791 PECOS PAC ID: 1456700830 Enrollment ID: I20231211001598 |
| Provider Name | Holley Noel Wrangler Hudson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982173472 PECOS PAC ID: 8123418076 Enrollment ID: I20231211001854 |
| Provider Name | Catherine Howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184015729 PECOS PAC ID: 9830548239 Enrollment ID: I20231211002364 |
| Provider Name | Melissa Hollrah |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619108032 PECOS PAC ID: 2466801865 Enrollment ID: I20231211002401 |
| Provider Name | Mary Kathryn Goslin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790272011 PECOS PAC ID: 3274982681 Enrollment ID: I20231211002925 |
| Provider Name | Jennifer A Knutson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972085421 PECOS PAC ID: 2567811904 Enrollment ID: I20231212000351 |
| Provider Name | Amanda L Hollon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831748466 PECOS PAC ID: 9931558277 Enrollment ID: I20231212000685 |
| Provider Name | Cassandra Lee Holzer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477060192 PECOS PAC ID: 7719336064 Enrollment ID: I20231212000906 |
| Provider Name | Christina Lynn Gower |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023414133 PECOS PAC ID: 5193174456 Enrollment ID: I20231212001275 |
| Provider Name | Catherine Mary Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902452295 PECOS PAC ID: 1951750215 Enrollment ID: I20231212001453 |
| Provider Name | Caitlin Elizabeth Bright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295445682 PECOS PAC ID: 6608225974 Enrollment ID: I20231212001815 |
| Provider Name | Jeremiah Pearson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649923186 PECOS PAC ID: 9133578404 Enrollment ID: I20231212001863 |
| Provider Name | Christopher Griebel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407412687 PECOS PAC ID: 7214386598 Enrollment ID: I20231212002274 |
| Provider Name | Meagan Ashley Guerreiro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962982413 PECOS PAC ID: 8325497621 Enrollment ID: I20231212003037 |
| Provider Name | Taylor Gravatt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538943741 PECOS PAC ID: 4880043199 Enrollment ID: I20231212003394 |
| Provider Name | Kristine Rebecca Townsend |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053078030 PECOS PAC ID: 9830548155 Enrollment ID: I20231212003600 |
| Provider Name | Amy Haas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578012696 PECOS PAC ID: 2264881580 Enrollment ID: I20231212003698 |
| Provider Name | Amy Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780168963 PECOS PAC ID: 6002265238 Enrollment ID: I20231213000240 |
| Provider Name | Kelsey Elizabeth Hayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366941999 PECOS PAC ID: 9335598572 Enrollment ID: I20231213000387 |
| Provider Name | Frank Sam Harper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801120399 PECOS PAC ID: 8123477361 Enrollment ID: I20231213000502 |
| Provider Name | Lauren Hennemann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790200855 PECOS PAC ID: 4284083429 Enrollment ID: I20231213000599 |
| Provider Name | Whitney Hines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932520467 PECOS PAC ID: 3173972338 Enrollment ID: I20231213001220 |
| Provider Name | Marlena Breyette Hathaway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952910671 PECOS PAC ID: 6103275391 Enrollment ID: I20231213002325 |
| Provider Name | Christina Miriam Herter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821577982 PECOS PAC ID: 0143679340 Enrollment ID: I20231213002556 |
| Provider Name | Andrew Hazel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831566744 PECOS PAC ID: 8820447030 Enrollment ID: I20231213003299 |
| Provider Name | Samuel C. Hagston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992328652 PECOS PAC ID: 0648629857 Enrollment ID: I20231213003305 |
| Provider Name | Sherry Ann James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881015048 PECOS PAC ID: 0446609655 Enrollment ID: I20231213003372 |
| Provider Name | Amanda Christine Banks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477222701 PECOS PAC ID: 4981053105 Enrollment ID: I20231213003509 |
| Provider Name | Holly B. Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366686149 PECOS PAC ID: 6709235849 Enrollment ID: I20231214000413 |
| Provider Name | Emily S Brendel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336783059 PECOS PAC ID: 4082063151 Enrollment ID: I20231214001750 |
| Provider Name | Lowell Lawrence Fry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033638762 PECOS PAC ID: 5799134805 Enrollment ID: I20231214003186 |
| Provider Name | Anna Christine Dixon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326559618 PECOS PAC ID: 2466801576 Enrollment ID: I20231214003407 |
| Provider Name | Donette Dee Cornett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962032409 PECOS PAC ID: 3971952987 Enrollment ID: I20231214003587 |
| Provider Name | Jane M Kauzlarich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962698886 PECOS PAC ID: 6103275144 Enrollment ID: I20231215000678 |
| Provider Name | Robin Charee Christopher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538419916 PECOS PAC ID: 4284083221 Enrollment ID: I20231215000701 |
| Provider Name | Lauren C Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962113092 PECOS PAC ID: 7214386275 Enrollment ID: I20231215001394 |
| Provider Name | Kaylen Zebrowski Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346966116 PECOS PAC ID: 7517316573 Enrollment ID: I20231215001748 |
| Provider Name | Rick Jay Short |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134782055 PECOS PAC ID: 3173972049 Enrollment ID: I20231218003006 |
| Provider Name | Kember Lee Ann Buhman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316615685 PECOS PAC ID: 1951750843 Enrollment ID: I20231218003619 |
| Provider Name | Robert Joseph Wingerter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396383147 PECOS PAC ID: 1658721527 Enrollment ID: I20231219002775 |
| Provider Name | Edward Russell Solomon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619975000 PECOS PAC ID: 5799801262 Enrollment ID: I20231220002021 |
| Provider Name | Keelin C Staab |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760071542 PECOS PAC ID: 2668822347 Enrollment ID: I20231220003747 |
| Provider Name | Ada P Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952893570 PECOS PAC ID: 2264882976 Enrollment ID: I20231221000481 |
| Provider Name | Scot Echols |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821609066 PECOS PAC ID: 3870943582 Enrollment ID: I20231221000628 |
| Provider Name | Mary Elizabeth Gapsch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982299533 PECOS PAC ID: 3274983903 Enrollment ID: I20231221001273 |
| Provider Name | Aisha Gilliam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346830080 PECOS PAC ID: 0143670885 Enrollment ID: I20231221001460 |
| Provider Name | Nicole Ann Hayden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154600617 PECOS PAC ID: 9739539479 Enrollment ID: I20231221001676 |
| Provider Name | Lance Grace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518552397 PECOS PAC ID: 8224488986 Enrollment ID: I20231221002394 |
| Provider Name | Amy M Stockton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295126845 PECOS PAC ID: 9133579741 Enrollment ID: I20231222000952 |
| Provider Name | Richard L Pope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114191152 PECOS PAC ID: 5193175719 Enrollment ID: I20231222001200 |
| Provider Name | Jamie M Montgomery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184248601 PECOS PAC ID: 3779933858 Enrollment ID: I20240102002802 |
| Provider Name | Rachel Reimers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265186084 PECOS PAC ID: 4082064001 Enrollment ID: I20240103000366 |
| Provider Name | Coleen A Hastings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861162786 PECOS PAC ID: 7416308481 Enrollment ID: I20240104001067 |
| Provider Name | Angelic Jump |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972992774 PECOS PAC ID: 5496106460 Enrollment ID: I20240104001203 |
| Provider Name | Lisa Carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083083182 PECOS PAC ID: 3870944754 Enrollment ID: I20240104001918 |
| Provider Name | Amanda Herbst |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144748930 PECOS PAC ID: 3971954884 Enrollment ID: I20240104003036 |
| Provider Name | Chad D Cunningham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619165966 PECOS PAC ID: 2264883040 Enrollment ID: I20240105000865 |
| Provider Name | Adam Hatton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023517463 PECOS PAC ID: 2860843646 Enrollment ID: I20240105001008 |
| Provider Name | Mark Louis Laspe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396879888 PECOS PAC ID: 1052762721 Enrollment ID: I20240106000065 |
| Provider Name | Heather Anne Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235906637 PECOS PAC ID: 2668823253 Enrollment ID: I20240108005368 |
| Provider Name | Angela Chamberlain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689160079 PECOS PAC ID: 6204287824 Enrollment ID: I20240109000379 |
| Provider Name | Heather Kimberly Driver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669093142 PECOS PAC ID: 8527419084 Enrollment ID: I20240109002121 |
| Provider Name | Malinda Gann Lowery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346227550 PECOS PAC ID: 6507217973 Enrollment ID: I20240110001830 |
| Provider Name | Joshua Langham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649520362 PECOS PAC ID: 9931550332 Enrollment ID: I20240110002705 |
| Provider Name | Mark C Dyhouse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326657362 PECOS PAC ID: 2264883677 Enrollment ID: I20240110003251 |
| Provider Name | Ann Marie Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730785973 PECOS PAC ID: 3476904681 Enrollment ID: I20240111002327 |
| Provider Name | Claire James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477938967 PECOS PAC ID: 3971955923 Enrollment ID: I20240116002064 |
| Provider Name | Russlyn St John |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083368294 PECOS PAC ID: 5890147854 Enrollment ID: I20240116002372 |
| Provider Name | Stefanie Oneill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558797431 PECOS PAC ID: 9436501301 Enrollment ID: I20240116002733 |
| Provider Name | Amber Marie Osborne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154781078 PECOS PAC ID: 8921450826 Enrollment ID: I20240116003585 |
| Provider Name | Lida Teresa Santiago |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811372659 PECOS PAC ID: 7911359773 Enrollment ID: I20240117001519 |
| Provider Name | Samuel Jordan Semonis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295198729 PECOS PAC ID: 1254783020 Enrollment ID: I20240117001703 |
| Provider Name | Rebecca Sue Monroe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205346202 PECOS PAC ID: 2062864838 Enrollment ID: I20240117001738 |
| Provider Name | Rose Marie Blair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538477740 PECOS PAC ID: 2668824434 Enrollment ID: I20240117001828 |
| Provider Name | Janet Alexa Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699323170 PECOS PAC ID: 9638521420 Enrollment ID: I20240117002344 |
| Provider Name | Kaylyn Nichole Mayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730762162 PECOS PAC ID: 2567814361 Enrollment ID: I20240117002575 |
| Provider Name | Raleigh Abell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083189104 PECOS PAC ID: 3870945678 Enrollment ID: I20240117002758 |
| Provider Name | Andrea Immel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134682099 PECOS PAC ID: 1355793167 Enrollment ID: I20240117002984 |
| Provider Name | Linda Kay Berletic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821503962 PECOS PAC ID: 9537511282 Enrollment ID: I20240117004580 |
| Provider Name | Shaina Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811377930 PECOS PAC ID: 4688026362 Enrollment ID: I20240118000941 |
| Provider Name | Holly Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275117202 PECOS PAC ID: 6002268794 Enrollment ID: I20240118001062 |
| Provider Name | Traci Reynolds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073087300 PECOS PAC ID: 6709238496 Enrollment ID: I20240118001167 |
| Provider Name | Jeannie Ann James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487831335 PECOS PAC ID: 9436501137 Enrollment ID: I20240118001524 |
| Provider Name | Brandi Lynn Gillam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821440611 PECOS PAC ID: 7315399037 Enrollment ID: I20240118002057 |
| Provider Name | Shontel N Nance |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518451160 PECOS PAC ID: 5496107120 Enrollment ID: I20240118002443 |
| Provider Name | Constance Susanne Pasley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720066533 PECOS PAC ID: 0840642575 Enrollment ID: I20240118002455 |
| Provider Name | Tyron Mallard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275909889 PECOS PAC ID: 7911359658 Enrollment ID: I20240118002867 |
| Provider Name | Amanda J Simpson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326774068 PECOS PAC ID: 7618329251 Enrollment ID: I20240118002982 |
| Provider Name | Chelsea Elizabeth Koenig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205437753 PECOS PAC ID: 9537511183 Enrollment ID: I20240118003320 |
| Provider Name | Ruth Ellen Roady-moseley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669517249 PECOS PAC ID: 4082066642 Enrollment ID: I20240118003686 |
| Provider Name | Nicole Winker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043816028 PECOS PAC ID: 4587016191 Enrollment ID: I20240119000599 |
| Provider Name | Shawn Warren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780189217 PECOS PAC ID: 9234581778 Enrollment ID: I20240119001942 |
| Provider Name | Phillip Dean Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619119377 PECOS PAC ID: 5294187753 Enrollment ID: I20240119002468 |
| Provider Name | Kyle Wesley Raney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760051908 PECOS PAC ID: 3577915099 Enrollment ID: I20240122000129 |
| Provider Name | Melissa A White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285066464 PECOS PAC ID: 5799137113 Enrollment ID: I20240122000333 |
| Provider Name | Lindsey Marie Kraus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003452186 PECOS PAC ID: 2860844289 Enrollment ID: I20240122000383 |
| Provider Name | Andrea Kroninger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114666104 PECOS PAC ID: 8022460443 Enrollment ID: I20240122000415 |
| Provider Name | Joshua Ronald Dunn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134769664 PECOS PAC ID: 8921450347 Enrollment ID: I20240122000468 |
| Provider Name | Jessica Cantrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932592649 PECOS PAC ID: 1456703883 Enrollment ID: I20240122000573 |
| Provider Name | Victoria Gelbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598422339 PECOS PAC ID: 7315399763 Enrollment ID: I20240122001515 |
| Provider Name | Miranda D'angelo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700361250 PECOS PAC ID: 1658723028 Enrollment ID: I20240122002099 |
| Provider Name | Royce Anthony Hardesty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699819169 PECOS PAC ID: 2163874405 Enrollment ID: I20240123000257 |
| Provider Name | Laura Suzanne Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669802021 PECOS PAC ID: 8820440068 Enrollment ID: I20240123003812 |
| Provider Name | Bethany Danielle Breeden Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134860075 PECOS PAC ID: 7315399508 Enrollment ID: I20240124000474 |
| Provider Name | Mary E Pugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184070500 PECOS PAC ID: 7113370396 Enrollment ID: I20240124003851 |
| Provider Name | Audrey Michelle Weddington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093390809 PECOS PAC ID: 8224481379 Enrollment ID: I20240125001507 |
| Provider Name | Amber Shocklee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306361423 PECOS PAC ID: 0840643854 Enrollment ID: I20240125003903 |
| Provider Name | Kristy Lee Boresi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497091599 PECOS PAC ID: 0244683100 Enrollment ID: I20240126001189 |
| Provider Name | Alec Ryan Zimmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306462452 PECOS PAC ID: 2769806058 Enrollment ID: I20240126001273 |
| Provider Name | Benjamin Jeffrey Menary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992045488 PECOS PAC ID: 2769835677 Enrollment ID: I20240126003012 |
| Provider Name | Linda Middleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972364321 PECOS PAC ID: 4082067996 Enrollment ID: I20240126003231 |
| Provider Name | Jennifer Cochran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285393660 PECOS PAC ID: 8527411461 Enrollment ID: I20240127000330 |
| Provider Name | Jamie Nicole Kennedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477843514 PECOS PAC ID: 9032562988 Enrollment ID: I20240127000493 |
| Provider Name | Janice Mae Hendrix |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023446812 PECOS PAC ID: 4880047679 Enrollment ID: I20240129001267 |
| Provider Name | Amber Jo Kwentus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235703208 PECOS PAC ID: 4789037284 Enrollment ID: I20240131004452 |
| Provider Name | Cuba S Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912298647 PECOS PAC ID: 6608229992 Enrollment ID: I20240202002012 |
| Provider Name | Jennie Lee Oberkrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952574212 PECOS PAC ID: 9234572561 Enrollment ID: I20240203000032 |
| Provider Name | Stephanie M Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003568197 PECOS PAC ID: 4981047255 Enrollment ID: I20240205000955 |
| Provider Name | Shanon M Colbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780341891 PECOS PAC ID: 7517300445 Enrollment ID: I20240208000232 |
| Provider Name | Sarah Ball |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871078691 PECOS PAC ID: 8729421391 Enrollment ID: I20240210000630 |
| Provider Name | Elicia Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316718505 PECOS PAC ID: 4284077769 Enrollment ID: I20240212003637 |
| Provider Name | Melissa Magnin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790499465 PECOS PAC ID: 7416390919 Enrollment ID: I20240212004186 |
| Provider Name | Danience Moreland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518238971 PECOS PAC ID: 8921442823 Enrollment ID: I20240220000135 |
| Provider Name | Summer Rose Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033557475 PECOS PAC ID: 0143665547 Enrollment ID: I20240226000760 |
| Provider Name | Steven Craig Hufford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164034583 PECOS PAC ID: 3971948399 Enrollment ID: I20240226001399 |
| Provider Name | Augustine Okoli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003671744 PECOS PAC ID: 1850736158 Enrollment ID: I20240227000412 |
| Provider Name | Daniel Goninan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386302347 PECOS PAC ID: 6709221898 Enrollment ID: I20240228003037 |
| Provider Name | Gerretta Kay Crockett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598521932 PECOS PAC ID: 4587009550 Enrollment ID: I20240229001379 |
| Provider Name | Krystal R Lanning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023388022 PECOS PAC ID: 3870938582 Enrollment ID: I20240304001169 |
| Provider Name | Sheridan Steenburgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679339899 PECOS PAC ID: 9436594173 Enrollment ID: I20240304002235 |
| Provider Name | Elim Allee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760039093 PECOS PAC ID: 1153767769 Enrollment ID: I20240306000320 |
| Provider Name | Bradley Hunt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811633902 PECOS PAC ID: 7719323039 Enrollment ID: I20240308003148 |
| Provider Name | Timothy R Woody |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275239816 PECOS PAC ID: 5890131049 Enrollment ID: I20240309000705 |
| Provider Name | Molly R Magary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194184499 PECOS PAC ID: 3577909753 Enrollment ID: I20240311001045 |
| Provider Name | Deborah Summers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902663206 PECOS PAC ID: 0244676450 Enrollment ID: I20240311002139 |
| Provider Name | Marnice J Willis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073278768 PECOS PAC ID: 4789020918 Enrollment ID: I20240311002606 |
| Provider Name | Vincent Ballard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154735306 PECOS PAC ID: 2365888278 Enrollment ID: I20240314001254 |
Revive Medical Group, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1600 N 2nd St, Clinton, MO 64735 Phone: 203-430-1321 | |
Monaco Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Nicklaus Dr, Clinton, MO 64735 Phone: 660-525-2993 | |
Compass Health Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Community, Clinton, MO 64735 Phone: 660-890-8186 | |
The Dalton House Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 702 E Ohio St Ste 11, Clinton, MO 64735 Phone: 660-383-1696 | |
Turn Around Ranch Therapeutic Riding Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 361 Se 1201st Rd, Clinton, MO 64735 Phone: 660-492-9072 | |
Twin Lakes Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 E Ohio St, Suite 213, Clinton, MO 64735 Phone: 660-885-9100 Fax: 660-885-9116 |