| Sagebrush Counseling | |
| 
					548 Front St Fairplay CO 80440-5001  | |
| (785) 865-6555 | |
| (844) 265-8622 | 
| Full Name | Sagebrush Counseling | 
|---|---|
| Speciality | Counselor | 
| Location | 548 Front St, Fairplay, Colorado | 
| Authorized Official Name and Position | Damond Dotson (BILLING AND CREDENTIALING MANAGER) | 
| Authorized Official Contact | 9705761717 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sagebrush Counseling 844-265-8622 1330 S. Bryant St. Denver CO 80219-4220 Ph: (785) 865-6555  | Sagebrush Counseling 548 Front St Fairplay CO 80440-5001 Ph: (785) 865-6555  | 
| NPI Number | 1710680368 | 
|---|---|
| Provider Enumeration Date | 03/23/2023 | 
| Last Update Date | 03/23/2023 | 
| Certification Date | 03/21/2023 | 
| Medicare PECOS PAC ID | 4981043916 | 
|---|---|
| Medicare Enrollment ID | O20240423002957 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710680368 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Provider Name | Catherine Sue De Vilder | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1528739505 PECOS PAC ID: 2062864549 Enrollment ID: I20240119003411  | 
| Provider Name | Adam M Fyler | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1235628199 PECOS PAC ID: 5890134829 Enrollment ID: I20240423003053  | 
| Provider Name | Kaitlyn Carr | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1215571856 PECOS PAC ID: 0648711689 Enrollment ID: I20240918001978  | 
| Provider Name | Rebecca Dawn Frazier | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1578153912 PECOS PAC ID: 9234662578 Enrollment ID: I20241025000355  | 
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