| San Luis Valley Community Mental Health Center | |
|
8745 County Road 9 S Alamosa CO 81101-9610 | |
| (719) 589-3671 | |
| (719) 589-9136 |
| Full Name | San Luis Valley Community Mental Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 8745 County Road 9 S, Alamosa, Colorado |
| Authorized Official Name and Position | Victoria Romero (CEO) |
| Authorized Official Contact | 7195893671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Luis Valley Community Mental Health Center 8745 County Road 9 South Alamosa CO 81101 Ph: (719) 589-3671 | San Luis Valley Community Mental Health Center 8745 County Road 9 S Alamosa CO 81101-9610 Ph: (719) 589-3671 |
| NPI Number | 1063406999 |
|---|---|
| Provider Enumeration Date | 09/07/2005 |
| Last Update Date | 01/16/2023 |
| Certification Date | 01/16/2023 |
| Medicare PECOS PAC ID | 0345267779 |
|---|---|
| Medicare Enrollment ID | O20051025001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063406999 | NPI | - | NPPES |
| 1063406999 | Medicaid | CO |
| Provider Name | James J Grant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427182880 PECOS PAC ID: 5698792620 Enrollment ID: I20051028000939 |
| Provider Name | Jeffrey I Wallace |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1215027990 PECOS PAC ID: 4082748231 Enrollment ID: I20100810000911 |
| Provider Name | Lynne Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336376128 PECOS PAC ID: 9739205089 Enrollment ID: I20100924000163 |
| Provider Name | Donna Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962479907 PECOS PAC ID: 6709005838 Enrollment ID: I20140922002062 |
| Provider Name | Donald D Tietsema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447652409 PECOS PAC ID: 1759502990 Enrollment ID: I20141031001067 |
| Provider Name | Susan Marie Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760917868 PECOS PAC ID: 8820358062 Enrollment ID: I20180207001645 |
| Provider Name | Mary L Tracey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134515984 PECOS PAC ID: 1052674538 Enrollment ID: I20180416000931 |
| Provider Name | Adriana C Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730576042 PECOS PAC ID: 2567497753 Enrollment ID: I20180606000473 |
| Provider Name | Angelica Vazquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730565417 PECOS PAC ID: 4789927641 Enrollment ID: I20190515003027 |
| Provider Name | Hillary L.b. Nipple |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295286672 PECOS PAC ID: 7012244155 Enrollment ID: I20190812002622 |
| Provider Name | Melissa A Marquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104335058 PECOS PAC ID: 5092139998 Enrollment ID: I20200724001903 |
| Provider Name | Korissa Roesch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245789817 PECOS PAC ID: 4981028636 Enrollment ID: I20200728001507 |
| Provider Name | Lindsey Marie Renner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316293111 PECOS PAC ID: 4789009457 Enrollment ID: I20200729001864 |
| Provider Name | Chastidy Mariah Chacon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508581612 PECOS PAC ID: 7214387885 Enrollment ID: I20231221003332 |
| Provider Name | Chris Allington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942633359 PECOS PAC ID: 3274976477 Enrollment ID: I20240205002132 |
| Provider Name | Jamie Bogner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184172975 PECOS PAC ID: 8921441031 Enrollment ID: I20240206001593 |
| Provider Name | Allison Christine Dicanto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821461740 PECOS PAC ID: 7719320647 Enrollment ID: I20240208000494 |
| Provider Name | Albert Gonzales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306381116 PECOS PAC ID: 4981047818 Enrollment ID: I20240208000559 |
| Provider Name | Jazmin Vigil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568666246 PECOS PAC ID: 2567805278 Enrollment ID: I20240209002140 |
| Provider Name | Marcia Candy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619001138 PECOS PAC ID: 5496198905 Enrollment ID: I20240212001463 |
| Provider Name | John Ryan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093116113 PECOS PAC ID: 7618310152 Enrollment ID: I20240212002256 |
| Provider Name | Veronica M Trujillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295939023 PECOS PAC ID: 6103269691 Enrollment ID: I20240212003930 |
| Provider Name | Sarah Jennings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134530371 PECOS PAC ID: 0941643381 Enrollment ID: I20240213001740 |
| Provider Name | Patricia Albert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215332143 PECOS PAC ID: 4284078577 Enrollment ID: I20240214002728 |
| Provider Name | Ashley Sasser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114424686 PECOS PAC ID: 1052755725 Enrollment ID: I20240221002079 |
| Provider Name | Bonnie Ortega |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720500820 PECOS PAC ID: 1254776966 Enrollment ID: I20240304001096 |
| Provider Name | Tasha Martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629468707 PECOS PAC ID: 1052756749 Enrollment ID: I20240304003964 |
| Provider Name | Whitney Glenn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326397480 PECOS PAC ID: 5597100289 Enrollment ID: I20240304004014 |
| Provider Name | Amy Strasser-garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386768547 PECOS PAC ID: 9537505888 Enrollment ID: I20240309000615 |
| Provider Name | Charles Ralph Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720861693 PECOS PAC ID: 8729501135 Enrollment ID: I20250326002700 |
| Provider Name | Autumn Setzler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144903469 PECOS PAC ID: 7012430333 Enrollment ID: I20250327001985 |
| Provider Name | Frances Echeverria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629852363 PECOS PAC ID: 3577088210 Enrollment ID: I20250416000019 |
| Provider Name | Matthew Richard Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225647712 PECOS PAC ID: 0244755742 Enrollment ID: I20250417000287 |
| Provider Name | Mary O'dell Lambert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467235713 PECOS PAC ID: 4385169762 Enrollment ID: I20250417002483 |
| Provider Name | Anna Chavez-sandoval |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245641885 PECOS PAC ID: 4284159401 Enrollment ID: I20250421002498 |
| Provider Name | Emily Diane Kreissler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992416457 PECOS PAC ID: 8729503826 Enrollment ID: I20250422001810 |
| Provider Name | Ashley Pacheco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598046120 PECOS PAC ID: 6305362138 Enrollment ID: I20250424002483 |
Cynthia Tanaka Counseling And Consulting Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 West Ave, Alamosa, CO 81101 Phone: 719-588-6578 | |
San Luis Valley Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 State Ave, Alamosa, CO 81101 Phone: 719-920-8356 | |
Slv Family & Addictions Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 Main St, Alamosa, CO 81101 Phone: 719-589-2974 Fax: 719-589-2974 | |
Ascension Counseling & Transformation Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 Main St, Alamosa, CO 81101 Phone: 719-589-6438 Fax: 719-589-2668 | |
Pediatric Psychology Services Of Colorado Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 Main St, Alamosa, CO 81101 Phone: 970-924-0484 Fax: 970-549-2874 | |
Swann Clinic For Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 Main St, Alamosa, CO 81101 Phone: 970-924-0484 |