| Sondermind Provider Network Llc | |
|
720 S Colorado Blvd Ph North Denver CO 80246-1904 | |
| (844) 843-7279 | |
| (844) 416-0584 |
| Full Name | Sondermind Provider Network Llc |
|---|---|
| Speciality | Social Worker |
| Location | 720 S Colorado Blvd Ph North, Denver, Colorado |
| Authorized Official Name and Position | Carmen Feldman (DIRECTOR) |
| Authorized Official Contact | 8448437279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sondermind Provider Network Llc 1099 18th St Ste 2350 Denver CO 80202-1936 Ph: (844) 843-7279 | Sondermind Provider Network Llc 720 S Colorado Blvd Ph North Denver CO 80246-1904 Ph: (844) 843-7279 |
| NPI Number | 1760854442 |
|---|---|
| Provider Enumeration Date | 10/21/2015 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 9537572490 |
|---|---|
| Medicare Enrollment ID | O20210113002826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760854442 | NPI | - | NPPES |
| Provider Name | Heidi F Saltzman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740293497 PECOS PAC ID: 0345130209 Enrollment ID: I20040316001101 |
| Provider Name | Laura Baer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306935960 PECOS PAC ID: 0941293203 Enrollment ID: I20040405000611 |
| Provider Name | Janet M Dodd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215930920 PECOS PAC ID: 3375536204 Enrollment ID: I20040406001639 |
| Provider Name | Jill Kauffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962549444 PECOS PAC ID: 3476522418 Enrollment ID: I20040928000060 |
| Provider Name | David Petersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497845788 PECOS PAC ID: 2668441320 Enrollment ID: I20040929000503 |
| Provider Name | Evelyn G Wertenberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265434773 PECOS PAC ID: 0941277255 Enrollment ID: I20041101000900 |
| Provider Name | Arlene Marie Martin Bandy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750301438 PECOS PAC ID: 3678531290 Enrollment ID: I20041229000746 |
| Provider Name | Deborah A Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104269885 PECOS PAC ID: 5799700902 Enrollment ID: I20051006000829 |
| Provider Name | Julie E Lane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316003452 PECOS PAC ID: 4284653304 Enrollment ID: I20051117001032 |
| Provider Name | Luann Pierce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609809763 PECOS PAC ID: 5193720134 Enrollment ID: I20070710000400 |
| Provider Name | Joy A Redstone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194857268 PECOS PAC ID: 8224139910 Enrollment ID: I20070725000301 |
| Provider Name | Liza L York |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659480556 PECOS PAC ID: 6002902871 Enrollment ID: I20071010000407 |
| Provider Name | Deborah A Hutson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891753703 PECOS PAC ID: 0840386546 Enrollment ID: I20071010000766 |
| Provider Name | Valerie L Cattany |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134394703 PECOS PAC ID: 1658444211 Enrollment ID: I20080716000159 |
| Provider Name | Lisa P Fiola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114919560 PECOS PAC ID: 7315013455 Enrollment ID: I20080915000024 |
| Provider Name | Jayadevi Karuthasamy T Seenichamy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730396367 PECOS PAC ID: 9436215209 Enrollment ID: I20090303000110 |
| Provider Name | David Mallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760545255 PECOS PAC ID: 5395875355 Enrollment ID: I20100617000647 |
| Provider Name | Elishia Oliva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760529044 PECOS PAC ID: 3476677105 Enrollment ID: I20100901000329 |
| Provider Name | Jeannie E Walter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669607404 PECOS PAC ID: 1052505377 Enrollment ID: I20101101000696 |
| Provider Name | Anthony Michael Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245362615 PECOS PAC ID: 5496934218 Enrollment ID: I20110126000517 |
| Provider Name | Charleen Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659672681 PECOS PAC ID: 5799969275 Enrollment ID: I20110407000153 |
| Provider Name | Marsha K Visscher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811013436 PECOS PAC ID: 5294919668 Enrollment ID: I20110408000330 |
| Provider Name | Deidrea M Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982732426 PECOS PAC ID: 7911183181 Enrollment ID: I20110524000400 |
| Provider Name | Molly L Esterl-byrne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447376074 PECOS PAC ID: 1557548500 Enrollment ID: I20110531000725 |
| Provider Name | Alicia Kwande |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760631030 PECOS PAC ID: 0042497299 Enrollment ID: I20110615000753 |
| Provider Name | Shawna M Urbanski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225153935 PECOS PAC ID: 2163697350 Enrollment ID: I20111216000684 |
| Provider Name | Colette C Rosquist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245565795 PECOS PAC ID: 2163698689 Enrollment ID: I20120105000322 |
| Provider Name | Lara C Ristow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801027388 PECOS PAC ID: 0042486367 Enrollment ID: I20120106000736 |
| Provider Name | Jodi P Nelan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043547169 PECOS PAC ID: 1658533088 Enrollment ID: I20120501000841 |
| Provider Name | Mary A Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770784902 PECOS PAC ID: 9234392093 Enrollment ID: I20120515000613 |
| Provider Name | Jennifer E Pollock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346463296 PECOS PAC ID: 4587829676 Enrollment ID: I20120621000705 |
| Provider Name | Marc E Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720207475 PECOS PAC ID: 0941464382 Enrollment ID: I20120702000074 |
| Provider Name | Elizabeth S Reisen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639477300 PECOS PAC ID: 8729235114 Enrollment ID: I20120820000658 |
| Provider Name | Tamara L Boyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972775732 PECOS PAC ID: 0446408421 Enrollment ID: I20120917000522 |
| Provider Name | Shannon L O'connor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164753539 PECOS PAC ID: 9537319710 Enrollment ID: I20121024000453 |
| Provider Name | Kristen M Vandenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245558071 PECOS PAC ID: 9335265396 Enrollment ID: I20121024000828 |
| Provider Name | Rebecca Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326384678 PECOS PAC ID: 4082869839 Enrollment ID: I20130227000282 |
| Provider Name | Elisa D Fadum-montoya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285910273 PECOS PAC ID: 2163667445 Enrollment ID: I20130315000173 |
| Provider Name | Jason W Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023250560 PECOS PAC ID: 4981845880 Enrollment ID: I20130718000222 |
| Provider Name | Darlene L Brace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619210382 PECOS PAC ID: 0143462481 Enrollment ID: I20130815000454 |
| Provider Name | Jules Rosen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497720494 PECOS PAC ID: 0547456626 Enrollment ID: I20130913000219 |
| Provider Name | Hannah Evans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013258581 PECOS PAC ID: 3870720295 Enrollment ID: I20131210001964 |
| Provider Name | Erica Adkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669800124 PECOS PAC ID: 4284862830 Enrollment ID: I20140121002016 |
| Provider Name | Cari A Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437570017 PECOS PAC ID: 1153552518 Enrollment ID: I20140327001602 |
| Provider Name | Deborah Ls Westervelt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134564370 PECOS PAC ID: 0648403170 Enrollment ID: I20140507001009 |
| Provider Name | Meagan Lyn Giordano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245667427 PECOS PAC ID: 0244453025 Enrollment ID: I20140523000710 |
| Provider Name | Diane Eberle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932441045 PECOS PAC ID: 1658594312 Enrollment ID: I20140527001063 |
| Provider Name | Alice M Vienneau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740609866 PECOS PAC ID: 2961626684 Enrollment ID: I20140618001840 |
| Provider Name | Kimberly D Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255611752 PECOS PAC ID: 6305060955 Enrollment ID: I20140623000123 |
| Provider Name | Alicia S Fankell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932476645 PECOS PAC ID: 6103046479 Enrollment ID: I20141008002157 |
| Provider Name | Adam Slack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275701484 PECOS PAC ID: 8426279621 Enrollment ID: I20141030002307 |
| Provider Name | Stacy L Schoolfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295168953 PECOS PAC ID: 6406178490 Enrollment ID: I20141202001217 |
| Provider Name | Margaret A Steele |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801033212 PECOS PAC ID: 5799007696 Enrollment ID: I20141204000063 |
| Provider Name | Jose Ramon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346656071 PECOS PAC ID: 0547582462 Enrollment ID: I20141204000748 |
| Provider Name | Miranda G.p. Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629239405 PECOS PAC ID: 8921321779 Enrollment ID: I20141231000131 |
| Provider Name | Raquel St Aubin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598153538 PECOS PAC ID: 0648594218 Enrollment ID: I20150130001959 |
| Provider Name | Bonnie L Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871739474 PECOS PAC ID: 5799906798 Enrollment ID: I20150203001171 |
| Provider Name | Justin Cp Barry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972924074 PECOS PAC ID: 6305165994 Enrollment ID: I20150504000542 |
| Provider Name | Brittany L Tuttle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922491117 PECOS PAC ID: 8628397031 Enrollment ID: I20150507000277 |
| Provider Name | Jennifer B Labombard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467582569 PECOS PAC ID: 7618152828 Enrollment ID: I20150526001831 |
| Provider Name | Laura M Cote Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972980233 PECOS PAC ID: 1355661612 Enrollment ID: I20150528000368 |
| Provider Name | Lisa Evensky-stark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356722417 PECOS PAC ID: 5294047825 Enrollment ID: I20150709002566 |
| Provider Name | Cynthia Geissinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700252772 PECOS PAC ID: 8628385119 Enrollment ID: I20150916000699 |
| Provider Name | Miranda J Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760635395 PECOS PAC ID: 6103134572 Enrollment ID: I20151005001162 |
| Provider Name | Ananda D Wick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558557405 PECOS PAC ID: 3072813294 Enrollment ID: I20151119002043 |
| Provider Name | Gloria Anne Knoll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144524620 PECOS PAC ID: 0648570119 Enrollment ID: I20151207000126 |
| Provider Name | Irene G Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619138070 PECOS PAC ID: 6507167475 Enrollment ID: I20151217002356 |
| Provider Name | Stephanie M Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427353739 PECOS PAC ID: 0941430854 Enrollment ID: I20160318001653 |
| Provider Name | Dona Knoel Hendrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851601025 PECOS PAC ID: 1557522620 Enrollment ID: I20160324000771 |
| Provider Name | Laurie A Whistler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639383300 PECOS PAC ID: 5395044069 Enrollment ID: I20160502000706 |
| Provider Name | Lindsey Anne Carnick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083947436 PECOS PAC ID: 0840589636 Enrollment ID: I20160518000630 |
| Provider Name | Rebecca M Lane-ramsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578829511 PECOS PAC ID: 1153611876 Enrollment ID: I20160608000307 |
| Provider Name | Suzanne Rene Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033504345 PECOS PAC ID: 5597058859 Enrollment ID: I20160725000339 |
| Provider Name | Brianna C Bourne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336482975 PECOS PAC ID: 6204129588 Enrollment ID: I20160725001036 |
| Provider Name | Jonathan Shaffer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801170220 PECOS PAC ID: 6406141035 Enrollment ID: I20160822002363 |
| Provider Name | Christina Chismar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174771455 PECOS PAC ID: 1153600507 Enrollment ID: I20161108001482 |
| Provider Name | Daiga Keller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487107991 PECOS PAC ID: 9436439650 Enrollment ID: I20161206000424 |
| Provider Name | Kelly A Stout |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154406007 PECOS PAC ID: 2567742364 Enrollment ID: I20161214000686 |
| Provider Name | Ruthann R Lester |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548677545 PECOS PAC ID: 0547540189 Enrollment ID: I20161216001665 |
| Provider Name | Laura Burkhardt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275083016 PECOS PAC ID: 9638450240 Enrollment ID: I20161219002019 |
| Provider Name | Brittany Brumfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518260488 PECOS PAC ID: 9133400872 Enrollment ID: I20170111002367 |
| Provider Name | Jennifer Hubbard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144632647 PECOS PAC ID: 4284915976 Enrollment ID: I20170112000684 |
| Provider Name | Maria Pawlik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801164819 PECOS PAC ID: 0547543167 Enrollment ID: I20170206001672 |
| Provider Name | Chelsea Marie Arata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144778507 PECOS PAC ID: 8224311683 Enrollment ID: I20170208002193 |
| Provider Name | Angela Condit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477946572 PECOS PAC ID: 4284951187 Enrollment ID: I20170216002529 |
| Provider Name | Deborah M Bowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083159628 PECOS PAC ID: 0446534317 Enrollment ID: I20170222000460 |
| Provider Name | Laurie Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053681437 PECOS PAC ID: 2668757279 Enrollment ID: I20170322001903 |
| Provider Name | Easha Tiwari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154712602 PECOS PAC ID: 0345525846 Enrollment ID: I20170324000865 |
| Provider Name | Jay Vanderwerff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235565250 PECOS PAC ID: 4486930716 Enrollment ID: I20170420001939 |
| Provider Name | Lelieth Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992146468 PECOS PAC ID: 9537446471 Enrollment ID: I20170503000564 |
| Provider Name | Lyn K Lawhead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699210724 PECOS PAC ID: 9739466566 Enrollment ID: I20170504001732 |
| Provider Name | Rebecca R Zal-sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831646926 PECOS PAC ID: 8325315518 Enrollment ID: I20170518000286 |
| Provider Name | Kerri L Frantz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528372935 PECOS PAC ID: 9234406299 Enrollment ID: I20170522002472 |
| Provider Name | Carolyn S Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902865710 PECOS PAC ID: 1658648498 Enrollment ID: I20170525001981 |
| Provider Name | Michelle Rayman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285161513 PECOS PAC ID: 3678840246 Enrollment ID: I20170602000134 |
| Provider Name | Cheri L Barger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225338700 PECOS PAC ID: 5092988071 Enrollment ID: I20170807000822 |
| Provider Name | Joanne Whalen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326164948 PECOS PAC ID: 7012289895 Enrollment ID: I20170815002119 |
| Provider Name | Kristen M Wille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891228409 PECOS PAC ID: 3072885672 Enrollment ID: I20170816003532 |
| Provider Name | Joelle J Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528580487 PECOS PAC ID: 9436422128 Enrollment ID: I20170831000285 |
| Provider Name | Mary S Schafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093793291 PECOS PAC ID: 6305907023 Enrollment ID: I20170907003214 |
| Provider Name | Brent C Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245644483 PECOS PAC ID: 7618240714 Enrollment ID: I20170912002953 |
| Provider Name | Misty L Grimes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700154135 PECOS PAC ID: 3274806286 Enrollment ID: I20170913000514 |
| Provider Name | Marlene A Pino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508310558 PECOS PAC ID: 6901170877 Enrollment ID: I20170918000360 |
| Provider Name | Diane M Carson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376859918 PECOS PAC ID: 7810262391 Enrollment ID: I20171010000328 |
| Provider Name | Jennifer Burnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417973835 PECOS PAC ID: 6608141999 Enrollment ID: I20171012002487 |
| Provider Name | Meghan G Pataky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114335031 PECOS PAC ID: 1951667013 Enrollment ID: I20171107001226 |
| Provider Name | Lisa R Ramsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073022240 PECOS PAC ID: 6103183009 Enrollment ID: I20171201000304 |
| Provider Name | Jessica Lackey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841710209 PECOS PAC ID: 0446517023 Enrollment ID: I20171207000453 |
| Provider Name | Emily M Kleeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932611472 PECOS PAC ID: 5496013971 Enrollment ID: I20171212000701 |
| Provider Name | Jenna Willis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942716600 PECOS PAC ID: 3173882560 Enrollment ID: I20180110000685 |
| Provider Name | Emily J Balch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922436385 PECOS PAC ID: 6709145154 Enrollment ID: I20180111000527 |
| Provider Name | Alicia May Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871010066 PECOS PAC ID: 2769741057 Enrollment ID: I20180112000148 |
| Provider Name | Annalise Catharine Everett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740664408 PECOS PAC ID: 9436418670 Enrollment ID: I20180117000375 |
| Provider Name | Nicole Saigeon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205361771 PECOS PAC ID: 0749549590 Enrollment ID: I20180124000804 |
| Provider Name | Kelli Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114111929 PECOS PAC ID: 5294096228 Enrollment ID: I20180307002116 |
| Provider Name | Erin Manzolillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679973952 PECOS PAC ID: 8527323583 Enrollment ID: I20180523001095 |
| Provider Name | Stephen A Valente |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154841054 PECOS PAC ID: 4183989064 Enrollment ID: I20180523002590 |
| Provider Name | Jordan A White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346418431 PECOS PAC ID: 3779838792 Enrollment ID: I20180615000500 |
| Provider Name | Rachel P Lamorte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396087292 PECOS PAC ID: 0547577959 Enrollment ID: I20180615001692 |
| Provider Name | Edeltraud Archinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750700985 PECOS PAC ID: 2567719735 Enrollment ID: I20180723002332 |
| Provider Name | Khem M Shepsutera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417349465 PECOS PAC ID: 2961750963 Enrollment ID: I20180808000802 |
| Provider Name | Ashley A. Jarvis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801301817 PECOS PAC ID: 7911262225 Enrollment ID: I20180809000558 |
| Provider Name | Jennifer June Crowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023445897 PECOS PAC ID: 7416206404 Enrollment ID: I20180824000554 |
| Provider Name | Rosalyn Marcia Gastel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184786469 PECOS PAC ID: 7214975705 Enrollment ID: I20180905000310 |
| Provider Name | Tonya Junod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235149444 PECOS PAC ID: 5092879775 Enrollment ID: I20180910002766 |
| Provider Name | Jayne Norton Lane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881186617 PECOS PAC ID: 5890047104 Enrollment ID: I20181016000517 |
| Provider Name | Shannon L Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841774502 PECOS PAC ID: 0648523548 Enrollment ID: I20181023001163 |
| Provider Name | Susan Ann Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831673227 PECOS PAC ID: 1759634249 Enrollment ID: I20181031000269 |
| Provider Name | Kalpana Narayanan Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255815668 PECOS PAC ID: 5991059313 Enrollment ID: I20181120003126 |
| Provider Name | Jennifer Phippen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821571423 PECOS PAC ID: 2466796222 Enrollment ID: I20181205000259 |
| Provider Name | Julie A Frank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619428117 PECOS PAC ID: 5294079984 Enrollment ID: I20181206002516 |
| Provider Name | Macy D'elia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730539180 PECOS PAC ID: 8325382807 Enrollment ID: I20181211000660 |
| Provider Name | Melinda Beth Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609280882 PECOS PAC ID: 0446477897 Enrollment ID: I20181218001750 |
| Provider Name | Lisa Staab |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396299442 PECOS PAC ID: 7012282023 Enrollment ID: I20181222000261 |
| Provider Name | Katie Marie Finn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336618164 PECOS PAC ID: 9335485549 Enrollment ID: I20190109001325 |
| Provider Name | Amy Leibli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316456981 PECOS PAC ID: 1759627672 Enrollment ID: I20190115001223 |
| Provider Name | Jennifer Jennings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487077871 PECOS PAC ID: 1658617410 Enrollment ID: I20190115002999 |
| Provider Name | James Nicholous Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972837276 PECOS PAC ID: 1254612138 Enrollment ID: I20190117003270 |
| Provider Name | Daniel W Minerva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437203593 PECOS PAC ID: 9638416936 Enrollment ID: I20190124001568 |
| Provider Name | Tina Jean Schwingler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053899989 PECOS PAC ID: 6204174816 Enrollment ID: I20190206001834 |
| Provider Name | Tracy Marie Boh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093934895 PECOS PAC ID: 0648518126 Enrollment ID: I20190207001399 |
| Provider Name | Valeria Isabel Rojo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447703715 PECOS PAC ID: 9537407705 Enrollment ID: I20190213001684 |
| Provider Name | Anita Acevedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447572508 PECOS PAC ID: 0941548937 Enrollment ID: I20190218001383 |
| Provider Name | Raelee Elaine Eicke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023491768 PECOS PAC ID: 7416296223 Enrollment ID: I20190221002601 |
| Provider Name | Lizette A Marquez Espinoza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942749957 PECOS PAC ID: 7113266685 Enrollment ID: I20190227001731 |
| Provider Name | Daniel J Rumberger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538126826 PECOS PAC ID: 5597714568 Enrollment ID: I20190325001914 |
| Provider Name | Sara Hampton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295171791 PECOS PAC ID: 1052651072 Enrollment ID: I20190328001957 |
| Provider Name | Dina Marie Buckey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639544661 PECOS PAC ID: 8325389315 Enrollment ID: I20190329002080 |
| Provider Name | Natalie K Khan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417414616 PECOS PAC ID: 6103167028 Enrollment ID: I20190402002616 |
| Provider Name | Kady L Svitak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780921783 PECOS PAC ID: 4981945441 Enrollment ID: I20190410000416 |
| Provider Name | Laura Baxter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790181972 PECOS PAC ID: 7214270776 Enrollment ID: I20190524000542 |
| Provider Name | Christina D Hopper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992171623 PECOS PAC ID: 0941533137 Enrollment ID: I20190603001204 |
| Provider Name | Sarah Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851870380 PECOS PAC ID: 7315297223 Enrollment ID: I20190613001440 |
| Provider Name | Eirin Jennifer Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508233255 PECOS PAC ID: 8426382276 Enrollment ID: I20190627001414 |
| Provider Name | Pamela D King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902953961 PECOS PAC ID: 6608101324 Enrollment ID: I20190717001107 |
| Provider Name | Mary Little |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326487034 PECOS PAC ID: 0345575973 Enrollment ID: I20190718000673 |
| Provider Name | Sayeed I Manick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205222361 PECOS PAC ID: 0749570893 Enrollment ID: I20190805000806 |
| 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 | Rebecca Cecilia Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942853049 PECOS PAC ID: 4082941836 Enrollment ID: I20190816000580 |
| Provider Name | Michael E Conner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609264217 PECOS PAC ID: 7618205311 Enrollment ID: I20190819003753 |
| Provider Name | Jacqueline Kathleen Mcmillin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659816114 PECOS PAC ID: 1153659388 Enrollment ID: I20190826001049 |
| Provider Name | Christopher O Neill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841746344 PECOS PAC ID: 8224367453 Enrollment ID: I20190912001906 |
| Provider Name | Chelsea Peck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033765649 PECOS PAC ID: 3375873672 Enrollment ID: I20190930003082 |
| Provider Name | Alison C Delassus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477923787 PECOS PAC ID: 3274864244 Enrollment ID: I20191007002234 |
| Provider Name | Meridith Jaffe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548707946 PECOS PAC ID: 4385975523 Enrollment ID: I20191018001951 |
| Provider Name | Jessica Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104228477 PECOS PAC ID: 0840522439 Enrollment ID: I20191031001479 |
| Provider Name | Lindsay M Meegan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306496286 PECOS PAC ID: 8820320203 Enrollment ID: I20191105000612 |
| Provider Name | Clinton P Callahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346704897 PECOS PAC ID: 4183056153 Enrollment ID: I20191112002873 |
| Provider Name | Melissa R Forrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215454590 PECOS PAC ID: 9436581337 Enrollment ID: I20191114002018 |
| Provider Name | Modupe M Okonofua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215325535 PECOS PAC ID: 2466764758 Enrollment ID: I20191204000130 |
| Provider Name | Alyssa N Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144683608 PECOS PAC ID: 9032401542 Enrollment ID: I20191210000947 |
| Provider Name | Mary J Prinz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003980061 PECOS PAC ID: 2860530730 Enrollment ID: I20191210001109 |
| Provider Name | Amanda Sue Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275179442 PECOS PAC ID: 9032542717 Enrollment ID: I20191211000615 |
| Provider Name | Harry M Chiang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336665660 PECOS PAC ID: 8729412747 Enrollment ID: I20191230001034 |
| Provider Name | Addison G Howe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730530635 PECOS PAC ID: 7911332549 Enrollment ID: I20200108002315 |
| Provider Name | Ann M Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427560986 PECOS PAC ID: 0648606228 Enrollment ID: I20200129002385 |
| Provider Name | Beverly Ann White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447898598 PECOS PAC ID: 9739515917 Enrollment ID: I20200206001565 |
| Provider Name | Dennis Lynn Kuik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023241726 PECOS PAC ID: 8224465463 Enrollment ID: I20200227001171 |
| Provider Name | Jessica Pratt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174053045 PECOS PAC ID: 7113355868 Enrollment ID: I20200312000767 |
| Provider Name | Anna Michelle Libby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205168622 PECOS PAC ID: 7214365832 Enrollment ID: I20200313001676 |
| Provider Name | Bonnie J Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841454352 PECOS PAC ID: 6709189244 Enrollment ID: I20200317002186 |
| Provider Name | Sylvia King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184256489 PECOS PAC ID: 1456780113 Enrollment ID: I20200331002473 |
| Provider Name | Anthony Braun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285182212 PECOS PAC ID: 4587094347 Enrollment ID: I20200417001711 |
| Provider Name | Alexandra Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871046292 PECOS PAC ID: 1658701412 Enrollment ID: I20200417001756 |
| Provider Name | Roberta Wendy Huttner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780216309 PECOS PAC ID: 6800225681 Enrollment ID: I20200515000637 |
| Provider Name | Amanda L Dodson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932632445 PECOS PAC ID: 6103257613 Enrollment ID: I20200518002356 |
| Provider Name | Skye Dina Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346756616 PECOS PAC ID: 0648691840 Enrollment ID: I20200526000915 |
| Provider Name | Crystal Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083267165 PECOS PAC ID: 5991126005 Enrollment ID: I20200528000073 |
| Provider Name | Kush Tarun Desai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699315291 PECOS PAC ID: 1759702509 Enrollment ID: I20200605001743 |
| Provider Name | Tina Diane Boyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629691498 PECOS PAC ID: 5991126492 Enrollment ID: I20200610000608 |
| Provider Name | Jessica Lorraine Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073138848 PECOS PAC ID: 9537581681 Enrollment ID: I20200619000420 |
| Provider Name | Jennifer T Basler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689299315 PECOS PAC ID: 7911320676 Enrollment ID: I20200714001187 |
| Provider Name | William Francis Konecnik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750562500 PECOS PAC ID: 7517083561 Enrollment ID: I20200723002172 |
| Provider Name | Korissa Roesch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245789817 PECOS PAC ID: 4981028636 Enrollment ID: I20200728001507 |
| Provider Name | Kristine Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265808364 PECOS PAC ID: 0547686610 Enrollment ID: I20200819003415 |
| Provider Name | Hortencia Carmen Greggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124441001 PECOS PAC ID: 8224456371 Enrollment ID: I20200922001647 |
| Provider Name | Carol Vidaurre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134628886 PECOS PAC ID: 4082033139 Enrollment ID: I20200923002202 |
| Provider Name | Gretchen Jeannette Rydin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114533247 PECOS PAC ID: 5890114532 Enrollment ID: I20200930001601 |
| Provider Name | Elizabeth Marie Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619496551 PECOS PAC ID: 4880013432 Enrollment ID: I20200930002587 |
| Provider Name | Jaclyn Ripperger-harrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760027411 PECOS PAC ID: 9032538343 Enrollment ID: I20201005002793 |
| Provider Name | Emily Mackay King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639624554 PECOS PAC ID: 1456770783 Enrollment ID: I20201006000515 |
| Provider Name | Whitney Sweet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124530605 PECOS PAC ID: 3678992930 Enrollment ID: I20201006001557 |
| Provider Name | Busayo Bose Obigbesan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497116545 PECOS PAC ID: 6305265695 Enrollment ID: I20201006002833 |
| Provider Name | Laura Reinert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336611722 PECOS PAC ID: 9537588751 Enrollment ID: I20201007001176 |
| Provider Name | Annika Winter Harold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780069211 PECOS PAC ID: 9436579208 Enrollment ID: I20201015002762 |
| Provider Name | Gianna Lynn Orr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356865919 PECOS PAC ID: 4880014307 Enrollment ID: I20201021001508 |
| Provider Name | Alastair Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730733551 PECOS PAC ID: 8022429000 Enrollment ID: I20201123002957 |
| Provider Name | Morgan Lemp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346843083 PECOS PAC ID: 2961813951 Enrollment ID: I20201123003361 |
| Provider Name | Dayshun Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326642448 PECOS PAC ID: 7214349091 Enrollment ID: I20201221000267 |
| Provider Name | Stephanie Therese Welker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346843034 PECOS PAC ID: 5193138618 Enrollment ID: I20201230000875 |
| Provider Name | Kathryn Rohlander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437520475 PECOS PAC ID: 3870906795 Enrollment ID: I20210113001130 |
| Provider Name | Carrie Shahbahrami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972070498 PECOS PAC ID: 5799918710 Enrollment ID: I20210121000230 |
| Provider Name | Robert Dayton Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033606546 PECOS PAC ID: 9032523543 Enrollment ID: I20210125001570 |
| Provider Name | Victoria Bernard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790263192 PECOS PAC ID: 4385058189 Enrollment ID: I20210205000285 |
| Provider Name | Kayla Jenn Kerekes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255789517 PECOS PAC ID: 1557604568 Enrollment ID: I20210208002335 |
| Provider Name | Lisa Brink |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700494663 PECOS PAC ID: 0941615520 Enrollment ID: I20210211002164 |
| Provider Name | Lindsey L Bupp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013527134 PECOS PAC ID: 1951716547 Enrollment ID: I20210211002588 |
| Provider Name | Sherri Joswiak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447430947 PECOS PAC ID: 1355756842 Enrollment ID: I20210216000070 |
| Provider Name | Barbara Mutagamba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639795586 PECOS PAC ID: 2062827439 Enrollment ID: I20210217000067 |
| Provider Name | Chelsea Witt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942817291 PECOS PAC ID: 9739594078 Enrollment ID: I20210218000441 |
| Provider Name | Don J O'malley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992816979 PECOS PAC ID: 7214342427 Enrollment ID: I20210222001911 |
| Provider Name | Sharon Elaine Wharton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376189241 PECOS PAC ID: 0840605069 Enrollment ID: I20210222002523 |
| Provider Name | Jeanette Nicastri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720398274 PECOS PAC ID: 2365857406 Enrollment ID: I20210223000556 |
| Provider Name | Kimberly Rasmussen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952923534 PECOS PAC ID: 3072928159 Enrollment ID: I20210223002441 |
| Provider Name | Michelle Lynne Kuecker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174174387 PECOS PAC ID: 9638584733 Enrollment ID: I20210224000086 |
| Provider Name | Melvin T Grier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770528929 PECOS PAC ID: 3971918871 Enrollment ID: I20210225002641 |
| Provider Name | Kelly Lenn Yeldell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366676249 PECOS PAC ID: 9638585599 Enrollment ID: I20210302000357 |
| Provider Name | Matthew Truman Shaffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912277500 PECOS PAC ID: 3870860091 Enrollment ID: I20210302001187 |
| Provider Name | Heather Hans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972002657 PECOS PAC ID: 6901212257 Enrollment ID: I20210310002515 |
| Provider Name | Ariel Rendt Padron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699226936 PECOS PAC ID: 6901212265 Enrollment ID: I20210310003043 |
| Provider Name | Jill Daiss-lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881151272 PECOS PAC ID: 8123395746 Enrollment ID: I20210311002466 |
| Provider Name | Savannah J Guglielmo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306268180 PECOS PAC ID: 3072929298 Enrollment ID: I20210311002577 |
| Provider Name | Sara Hammond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447681077 PECOS PAC ID: 0749696839 Enrollment ID: I20210316001253 |
| Provider Name | Angelie Rose Healy Cleaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629594452 PECOS PAC ID: 1254698343 Enrollment ID: I20210318000790 |
| Provider Name | Pauline Mae Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780187245 PECOS PAC ID: 0244647287 Enrollment ID: I20210318001874 |
| Provider Name | Amanda M Bernheim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629599758 PECOS PAC ID: 8123435906 Enrollment ID: I20210323000503 |
| Provider Name | Robin Ennis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780982934 PECOS PAC ID: 4880001684 Enrollment ID: I20210323001301 |
| Provider Name | Melyssa Joy Stout |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942565106 PECOS PAC ID: 4789091588 Enrollment ID: I20210323001350 |
| Provider Name | Shannon Booker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437742012 PECOS PAC ID: 5799192530 Enrollment ID: I20210324000305 |
| Provider Name | Barbara F Jedrzejek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952778367 PECOS PAC ID: 6305253055 Enrollment ID: I20210325001837 |
| Provider Name | Todd Aaron Brossart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033368634 PECOS PAC ID: 9931516531 Enrollment ID: I20210326001397 |
| Provider Name | Melanie Holwerda-hommes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710369004 PECOS PAC ID: 8022425503 Enrollment ID: I20210330000059 |
| Provider Name | Robyn Mayeux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346858610 PECOS PAC ID: 4587071089 Enrollment ID: I20210330000866 |
| Provider Name | Tara Lorena Bass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972799351 PECOS PAC ID: 8123435633 Enrollment ID: I20210330001321 |
| Provider Name | Jacob Allen Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962029165 PECOS PAC ID: 1153738398 Enrollment ID: I20210406000175 |
| Provider Name | Heather Ackley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851925655 PECOS PAC ID: 3577970649 Enrollment ID: I20210408000355 |
| Provider Name | Julia Veser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619135803 PECOS PAC ID: 9436567427 Enrollment ID: I20210412001088 |
| Provider Name | Roberta Raelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386622751 PECOS PAC ID: 1052203395 Enrollment ID: I20210414000521 |
| Provider Name | Rikki Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922690080 PECOS PAC ID: 6002224953 Enrollment ID: I20210414002384 |
| Provider Name | John Gary Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629538129 PECOS PAC ID: 3678981438 Enrollment ID: I20210415000295 |
| Provider Name | Ellen Thistle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992314009 PECOS PAC ID: 8426466020 Enrollment ID: I20210420002704 |
| Provider Name | Wendy Becker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538276837 PECOS PAC ID: 6305183898 Enrollment ID: I20210421001831 |
| Provider Name | Adam Kleger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700204724 PECOS PAC ID: 5496163818 Enrollment ID: I20210422002338 |
| Provider Name | Miranda J Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912376229 PECOS PAC ID: 2466861158 Enrollment ID: I20210510002029 |
| Provider Name | Edvina Leboeuf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205418381 PECOS PAC ID: 1557760709 Enrollment ID: I20210520002192 |
| Provider Name | Silvia Yareli Lazaro-estala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043792096 PECOS PAC ID: 9133528276 Enrollment ID: I20210524000247 |
| Provider Name | Laura L Mckeon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285185785 PECOS PAC ID: 0547669681 Enrollment ID: I20210524000413 |
| Provider Name | Nici Graves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124681648 PECOS PAC ID: 7214336213 Enrollment ID: I20210525000483 |
| Provider Name | Stacey L Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992334767 PECOS PAC ID: 7214336130 Enrollment ID: I20210526001763 |
| Provider Name | Scott Barton Dewalt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306165469 PECOS PAC ID: 2567861255 Enrollment ID: I20210601000107 |
| Provider Name | Mona Elizabeth Osterhoudt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285212878 PECOS PAC ID: 3072912625 Enrollment ID: I20210601002764 |
| Provider Name | Jamie L Preuss-morrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891049169 PECOS PAC ID: 6800296120 Enrollment ID: I20210608002502 |
| Provider Name | Julia H Hultgren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235611120 PECOS PAC ID: 4385045202 Enrollment ID: I20210630000663 |
| Provider Name | Acasha Kerr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457910630 PECOS PAC ID: 3870829815 Enrollment ID: I20210715003154 |
| Provider Name | Nichole Lange |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154757821 PECOS PAC ID: 4789086422 Enrollment ID: I20210716002248 |
| Provider Name | Jennifer R Hedrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598948457 PECOS PAC ID: 7719380427 Enrollment ID: I20210719002070 |
| Provider Name | Leslie Manning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346840030 PECOS PAC ID: 2466856539 Enrollment ID: I20210811002611 |
| Provider Name | Julia Dengel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326411422 PECOS PAC ID: 7618371626 Enrollment ID: I20210812000144 |
| Provider Name | Elisabeth Benoit Montgomery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265846059 PECOS PAC ID: 7416351382 Enrollment ID: I20210814000055 |
| Provider Name | Kelly Berry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205090883 PECOS PAC ID: 6406250372 Enrollment ID: I20210814000141 |
| Provider Name | Sadie Louise Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821275223 PECOS PAC ID: 7214332618 Enrollment ID: I20210824000506 |
| Provider Name | Julie E Preston Schilling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265882526 PECOS PAC ID: 6406251610 Enrollment ID: I20210826001939 |
| Provider Name | Ann Weatherby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720545148 PECOS PAC ID: 5092111922 Enrollment ID: I20210901001362 |
| Provider Name | Victoria Spenser-nicholas Grey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295259950 PECOS PAC ID: 6305242058 Enrollment ID: I20210907000728 |
| Provider Name | Laura Ann Moffett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801418082 PECOS PAC ID: 2769888007 Enrollment ID: I20210910002666 |
| Provider Name | Kristianne Louise Goff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972099174 PECOS PAC ID: 3971909268 Enrollment ID: I20210913001454 |
| Provider Name | Jennifer Leimbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225608201 PECOS PAC ID: 9638575814 Enrollment ID: I20210914001582 |
| Provider Name | Megan Marie Decorte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295402139 PECOS PAC ID: 7719383843 Enrollment ID: I20210915000068 |
| Provider Name | Jessica Walls |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730723834 PECOS PAC ID: 1759788821 Enrollment ID: I20210916002627 |
| Provider Name | Erin Claudia Graff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912423906 PECOS PAC ID: 5294132270 Enrollment ID: I20210917000144 |
| Provider Name | Kelsey Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013465665 PECOS PAC ID: 1759788755 Enrollment ID: I20210917000959 |
| Provider Name | Hannah Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518360601 PECOS PAC ID: 1153728357 Enrollment ID: I20210929003435 |
| Provider Name | Diane Pukajlo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982729927 PECOS PAC ID: 7315345204 Enrollment ID: I20211006003595 |
| Provider Name | Raina E Bridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316512205 PECOS PAC ID: 5496153124 Enrollment ID: I20211012000310 |
| Provider Name | Zachary J Spearman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801568951 PECOS PAC ID: 0042618530 Enrollment ID: I20211014000214 |
| Provider Name | Michelle Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164872149 PECOS PAC ID: 1355749649 Enrollment ID: I20211019000157 |
| Provider Name | Olivia Renee Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841962628 PECOS PAC ID: 3476941360 Enrollment ID: I20211026001861 |
| Provider Name | Alicia J Kielas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396221362 PECOS PAC ID: 0840537627 Enrollment ID: I20211029002222 |
| Provider Name | Shannon Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316545270 PECOS PAC ID: 5890184287 Enrollment ID: I20211104002095 |
| Provider Name | Consuelo De Jesus Salas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407070097 PECOS PAC ID: 4688063779 Enrollment ID: I20211110003277 |
| Provider Name | Justin R Ragon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093325409 PECOS PAC ID: 4880094945 Enrollment ID: I20211112001261 |
| Provider Name | Joshua Aevum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972082303 PECOS PAC ID: 4183013006 Enrollment ID: I20211116000725 |
| Provider Name | Bethany Bernard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609473503 PECOS PAC ID: 3971992512 Enrollment ID: I20211119001011 |
| Provider Name | Jessica Lea Chezhia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801387832 PECOS PAC ID: 2668861154 Enrollment ID: I20211123001710 |
| Provider Name | Sarah Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356726830 PECOS PAC ID: 0345630661 Enrollment ID: I20211201000104 |
| Provider Name | Alena Mecomber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962973099 PECOS PAC ID: 6406246479 Enrollment ID: I20211206002204 |
| Provider Name | Sabrina Gohlke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518629948 PECOS PAC ID: 9638560956 Enrollment ID: I20211221002514 |
| Provider Name | Judy Cole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295858884 PECOS PAC ID: 3375934615 Enrollment ID: I20211222000481 |
| Provider Name | Siri Austill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104201185 PECOS PAC ID: 8426449497 Enrollment ID: I20211230000075 |
| Provider Name | Christina Weatherbee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114566098 PECOS PAC ID: 1850783564 Enrollment ID: I20220110000041 |
| Provider Name | Joni Antonia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013161090 PECOS PAC ID: 2062804263 Enrollment ID: I20220125000311 |
| Provider Name | Heather Laughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730773540 PECOS PAC ID: 7719379718 Enrollment ID: I20220125002866 |
| Provider Name | Janice C Gonzales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215567425 PECOS PAC ID: 8022400035 Enrollment ID: I20220125003179 |
| Provider Name | Laurel Ann Maik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275137838 PECOS PAC ID: 6103219936 Enrollment ID: I20220131001189 |
| Provider Name | Linda Herbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750546107 PECOS PAC ID: 2365509965 Enrollment ID: I20220208001049 |
| Provider Name | Adrienne Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891070090 PECOS PAC ID: 1658765573 Enrollment ID: I20220218000513 |
| Provider Name | Donald Emmerich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215507645 PECOS PAC ID: 6507250214 Enrollment ID: I20220223000895 |
| Provider Name | Sara Lynn Greenlee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356097232 PECOS PAC ID: 8729474812 Enrollment ID: I20220329000998 |
| Provider Name | Sharrie D'andrea Cranford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033707872 PECOS PAC ID: 7517353618 Enrollment ID: I20220329001189 |
| Provider Name | Brendan Mark Haggerty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699300210 PECOS PAC ID: 6709273634 Enrollment ID: I20220425001003 |
| Provider Name | Mallory Lois Hislar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306482666 PECOS PAC ID: 0840687422 Enrollment ID: I20220428002750 |
| Provider Name | Kaitlyn Genevieve Haak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629595962 PECOS PAC ID: 3274920525 Enrollment ID: I20220505000305 |
| Provider Name | Kelly Melissa Stuerke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417297649 PECOS PAC ID: 6002293354 Enrollment ID: I20220506001809 |
| Provider Name | Rachel Morrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710635180 PECOS PAC ID: 1850778606 Enrollment ID: I20220517000003 |
| Provider Name | Chaela Rochelle Figueroa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811507858 PECOS PAC ID: 5890172688 Enrollment ID: I20220517001574 |
| Provider Name | Anne Brubacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265023022 PECOS PAC ID: 0446639884 Enrollment ID: I20220615002185 |
| Provider Name | Mary Grace Haas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093478943 PECOS PAC ID: 9436530334 Enrollment ID: I20220725000984 |
| Provider Name | Mckenna Joosten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235862426 PECOS PAC ID: 3577945690 Enrollment ID: I20220804003767 |
| Provider Name | Catherine Wasson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295234953 PECOS PAC ID: 9830572767 Enrollment ID: I20220810001396 |
| Provider Name | Bethany Neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538818281 PECOS PAC ID: 7911380506 Enrollment ID: I20220815001435 |
| Provider Name | Maya Linda Arellanes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245644210 PECOS PAC ID: 9032592621 Enrollment ID: I20220815001697 |
| Provider Name | Cheryl D Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528088655 PECOS PAC ID: 1456734086 Enrollment ID: I20220815003379 |
| Provider Name | Victoria Harms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922767680 PECOS PAC ID: 5092198515 Enrollment ID: I20220816003977 |
| Provider Name | Criston A Menz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609484062 PECOS PAC ID: 9032592233 Enrollment ID: I20220822001605 |
| Provider Name | Sara Cooley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346882594 PECOS PAC ID: 5496187445 Enrollment ID: I20220829002216 |
| Provider Name | Amanda Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215456686 PECOS PAC ID: 4880078567 Enrollment ID: I20220830000245 |
| Provider Name | Megan Leann Schalembier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194460600 PECOS PAC ID: 5597149245 Enrollment ID: I20220830003646 |
| Provider Name | William F Huntley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043596620 PECOS PAC ID: 2163806720 Enrollment ID: I20220830004531 |
| Provider Name | Kendrick Sewell Lutz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659043651 PECOS PAC ID: 5193109767 Enrollment ID: I20220831000235 |
| Provider Name | Natalie Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811406689 PECOS PAC ID: 7719361302 Enrollment ID: I20220831001084 |
| Provider Name | Rachel Rodeno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922757517 PECOS PAC ID: 0941685598 Enrollment ID: I20220916002837 |
| Provider Name | Ray Jamaal Herndon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760611636 PECOS PAC ID: 2567847031 Enrollment ID: I20220920000586 |
| Provider Name | Kathryn Konicek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689265639 PECOS PAC ID: 6002291598 Enrollment ID: I20220920001570 |
| Provider Name | Katherine Mary Sideras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780303982 PECOS PAC ID: 7012392483 Enrollment ID: I20220921001567 |
| Provider Name | Natalie Root |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780313387 PECOS PAC ID: 4385020130 Enrollment ID: I20220930001408 |
| Provider Name | Peter F Crowley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982217295 PECOS PAC ID: 6002292539 Enrollment ID: I20221006000380 |
| Provider Name | Erica Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538769773 PECOS PAC ID: 5597143776 Enrollment ID: I20221013000305 |
| Provider Name | Rick Dino Velez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982785325 PECOS PAC ID: 3870969884 Enrollment ID: I20221017001558 |
| Provider Name | Jessica Kate Scherer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871248468 PECOS PAC ID: 7214303056 Enrollment ID: I20221019000224 |
| Provider Name | Steve Anthony Livingston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366114605 PECOS PAC ID: 2365818028 Enrollment ID: I20221020001512 |
| Provider Name | Erica Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497140073 PECOS PAC ID: 8325335037 Enrollment ID: I20221022000175 |
| Provider Name | Brooke Rochelle Lederer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942923396 PECOS PAC ID: 1355717950 Enrollment ID: I20221024001431 |
| Provider Name | Amanda Myer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164979647 PECOS PAC ID: 4981070091 Enrollment ID: I20221024001540 |
| Provider Name | Carrie Therese Thrall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285651299 PECOS PAC ID: 2264808633 Enrollment ID: I20221026002906 |
| Provider Name | Jocelyn Stott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295332385 PECOS PAC ID: 4284001678 Enrollment ID: I20221027000883 |
| Provider Name | Breanna Almodova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679294706 PECOS PAC ID: 5496122699 Enrollment ID: I20221101000716 |
| Provider Name | Erica Leigh Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972245447 PECOS PAC ID: 0446627657 Enrollment ID: I20221101000980 |
| Provider Name | Dustin Halliwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447601463 PECOS PAC ID: 0345617171 Enrollment ID: I20221107002798 |
| Provider Name | Lisa K Broussard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538880596 PECOS PAC ID: 6103294624 Enrollment ID: I20221115000106 |
| Provider Name | Bobby Lee Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235735911 PECOS PAC ID: 5991173304 Enrollment ID: I20221116000519 |
| Provider Name | Shannah Ziatz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609034263 PECOS PAC ID: 7416325782 Enrollment ID: I20221116003147 |
| Provider Name | Hunter L Sawyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396461224 PECOS PAC ID: 5496123242 Enrollment ID: I20221129000614 |
| Provider Name | Carol Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124544705 PECOS PAC ID: 8628446366 Enrollment ID: I20221130001019 |
| Provider Name | Sarah Lintzenich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407564651 PECOS PAC ID: 3375911993 Enrollment ID: I20221201001095 |
| Provider Name | Melanie Virginia Wade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174240378 PECOS PAC ID: 0547639882 Enrollment ID: I20221208002800 |
| Provider Name | Lindy Kay Wetzel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487286670 PECOS PAC ID: 6204206774 Enrollment ID: I20221227000522 |
| Provider Name | William Edward Mead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154734424 PECOS PAC ID: 3577933654 Enrollment ID: I20230105003107 |
| Provider Name | Brandy Head |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598360653 PECOS PAC ID: 3072926450 Enrollment ID: I20230127000066 |
| Provider Name | Donald E Claussen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194346148 PECOS PAC ID: 3971975855 Enrollment ID: I20230202003392 |
| Provider Name | Audrey E Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073047783 PECOS PAC ID: 6608248463 Enrollment ID: I20230206000355 |
| Provider Name | Fara Diane Murata |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023126422 PECOS PAC ID: 6800268574 Enrollment ID: I20230206001155 |
| Provider Name | Jerrold Yeo Jun Tian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851638050 PECOS PAC ID: 9436581162 Enrollment ID: I20230210000840 |
| Provider Name | Monica Connell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366150831 PECOS PAC ID: 2860864071 Enrollment ID: I20230216003111 |
| Provider Name | Lea S Burns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417264672 PECOS PAC ID: 3274765573 Enrollment ID: I20230217001105 |
| Provider Name | Heather Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255923017 PECOS PAC ID: 3577936335 Enrollment ID: I20230227002440 |
| Provider Name | Nichole Anne Blanford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477260487 PECOS PAC ID: 1456724137 Enrollment ID: I20230228000425 |
| Provider Name | Tanya Portee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376273151 PECOS PAC ID: 3173998093 Enrollment ID: I20230407000418 |
| Provider Name | Joanna Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194110395 PECOS PAC ID: 4981076197 Enrollment ID: I20230424002676 |
| Provider Name | Amanda L Maguire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518664390 PECOS PAC ID: 2062878168 Enrollment ID: I20230516001103 |
| Provider Name | John W Floyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861865891 PECOS PAC ID: 9739545328 Enrollment ID: I20230524002686 |
| Provider Name | Tanya Kaplan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356586358 PECOS PAC ID: 1557728797 Enrollment ID: I20230605000492 |
| Provider Name | Dale Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588896542 PECOS PAC ID: 6204293194 Enrollment ID: I20230608000929 |
| Provider Name | Paul Donald Stubbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669107785 PECOS PAC ID: 6002274404 Enrollment ID: I20230616000467 |
| Provider Name | Janine M Schiavoni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235588666 PECOS PAC ID: 1951769355 Enrollment ID: I20230616000749 |
| Provider Name | Janessa N Schueler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720744055 PECOS PAC ID: 1850759580 Enrollment ID: I20230628000245 |
| Provider Name | Amy Myhre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114408713 PECOS PAC ID: 3577922129 Enrollment ID: I20230629003635 |
| Provider Name | Samantha Wogan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447760293 PECOS PAC ID: 6608235171 Enrollment ID: I20230630000408 |
| Provider Name | Glynn Forkey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013246792 PECOS PAC ID: 7315220373 Enrollment ID: I20230711001138 |
| Provider Name | Ashley Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841634433 PECOS PAC ID: 8224000666 Enrollment ID: I20230728001058 |
| Provider Name | Josh Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902266091 PECOS PAC ID: 3870901960 Enrollment ID: I20230807001220 |
| Provider Name | Maria Dawn Henson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245987510 PECOS PAC ID: 5799146767 Enrollment ID: I20230807003950 |
| Provider Name | Rachael M Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710633755 PECOS PAC ID: 4789046681 Enrollment ID: I20230809001685 |
| Provider Name | Elizabeth Jeanette Matson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306589205 PECOS PAC ID: 7517329394 Enrollment ID: I20230810001254 |
| Provider Name | Stephanie Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063143121 PECOS PAC ID: 2567824360 Enrollment ID: I20230810002046 |
| Provider Name | Lisa Claire Boyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083023584 PECOS PAC ID: 9032571849 Enrollment ID: I20230810003012 |
| Provider Name | Aaron Evans-jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295369197 PECOS PAC ID: 6507281748 Enrollment ID: I20230822000157 |
| Provider Name | Jan Cooper-nadav |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023026275 PECOS PAC ID: 4789047325 Enrollment ID: I20230829003375 |
| Provider Name | Heather Harcourt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508357781 PECOS PAC ID: 1456604230 Enrollment ID: I20230907002818 |
| Provider Name | Rebecca Clinton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003054891 PECOS PAC ID: 1456743624 Enrollment ID: I20230913001012 |
| Provider Name | Dean Joel Gainey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598441289 PECOS PAC ID: 8123482759 Enrollment ID: I20230914001600 |
| Provider Name | Laura Jean Rambikur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215303839 PECOS PAC ID: 1658735113 Enrollment ID: I20230915003291 |
| Provider Name | Sarah Laub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073112223 PECOS PAC ID: 4981068335 Enrollment ID: I20230918004253 |
| Provider Name | Jenna Vogen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770246530 PECOS PAC ID: 4486018744 Enrollment ID: I20230919004032 |
| Provider Name | Renee Garnier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376895334 PECOS PAC ID: 0547520231 Enrollment ID: I20230922001117 |
| Provider Name | Mitra Shahryary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487349395 PECOS PAC ID: 7113381567 Enrollment ID: I20230922001398 |
| Provider Name | Valerie Noelle Silvers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548598121 PECOS PAC ID: 0941654941 Enrollment ID: I20230925003229 |
| Provider Name | Ashlea-ann Thornton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548578990 PECOS PAC ID: 0345694246 Enrollment ID: I20230926004016 |
| Provider Name | Jasmine A Dean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891152716 PECOS PAC ID: 6002261302 Enrollment ID: I20231005003008 |
| Provider Name | Morgan Seymour |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366922569 PECOS PAC ID: 8820443245 Enrollment ID: I20231005003174 |
| Provider Name | Karen Irick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053452201 PECOS PAC ID: 1658442090 Enrollment ID: I20231012000185 |
| Provider Name | Angel Dawn Vest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093221004 PECOS PAC ID: 8426403643 Enrollment ID: I20231014000648 |
| Provider Name | Susan C Merrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538738653 PECOS PAC ID: 7517312119 Enrollment ID: I20231017003953 |
| Provider Name | Tracy Gano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629628425 PECOS PAC ID: 7618323684 Enrollment ID: I20231026003617 |
| Provider Name | Keesha Sledge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821401704 PECOS PAC ID: 2466701891 Enrollment ID: I20231109002146 |
| Provider Name | Jessica Reilly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194238675 PECOS PAC ID: 8527415405 Enrollment ID: I20231115000204 |
| Provider Name | Luciana Erin Brunscheen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073037602 PECOS PAC ID: 4486002789 Enrollment ID: I20231128000159 |
| Provider Name | Michelle R Hastings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588001077 PECOS PAC ID: 5890072508 Enrollment ID: I20231201000334 |
| Provider Name | Cecilia Ferro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598177404 PECOS PAC ID: 4587012323 Enrollment ID: I20231205000109 |
| Provider Name | Shannon Marie Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508554445 PECOS PAC ID: 1759730542 Enrollment ID: I20231205002280 |
| Provider Name | Elizabeth Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669578316 PECOS PAC ID: 4486084985 Enrollment ID: I20231212002638 |
| Provider Name | Andrea Lynn L'heureux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922625078 PECOS PAC ID: 6507215704 Enrollment ID: I20231213002587 |
| Provider Name | Holly D. Shockley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043497068 PECOS PAC ID: 5193175859 Enrollment ID: I20231221002598 |
| Provider Name | Kelsi Renae Klug |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346696630 PECOS PAC ID: 3072963669 Enrollment ID: I20231221004173 |
| Provider Name | Dawn Elizabeth Darnell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003209966 PECOS PAC ID: 2163872631 Enrollment ID: I20231223000295 |
| Provider Name | Mary Aragon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497121388 PECOS PAC ID: 9830549104 Enrollment ID: I20231228002313 |
| Provider Name | Deanna J Mcgrath |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376673129 PECOS PAC ID: 1557711702 Enrollment ID: I20231229001454 |
| Provider Name | Shawna Fishman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710043716 PECOS PAC ID: 0042660227 Enrollment ID: I20231229002475 |
| Provider Name | Aaron Dorfman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972017135 PECOS PAC ID: 7416307533 Enrollment ID: I20240102000821 |
| Provider Name | John L Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508981945 PECOS PAC ID: 7214387216 Enrollment ID: I20240102003950 |
| Provider Name | Rachel Webb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063721140 PECOS PAC ID: 9638529639 Enrollment ID: I20240102004143 |
| Provider Name | Kent Kelley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003449802 PECOS PAC ID: 3274983242 Enrollment ID: I20240103002435 |
| Provider Name | Terrie Sue Martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285220202 PECOS PAC ID: 3678924685 Enrollment ID: I20240103004191 |
| Provider Name | Jeffrey Kevin Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285068171 PECOS PAC ID: 3971954991 Enrollment ID: I20240103004515 |
| Provider Name | Jameika Matlock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255898169 PECOS PAC ID: 8729439757 Enrollment ID: I20240103004847 |
| Provider Name | Shauna Roubidoux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700263795 PECOS PAC ID: 6800247842 Enrollment ID: I20240104000255 |
| Provider Name | Samantha Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598148504 PECOS PAC ID: 4880045715 Enrollment ID: I20240104003878 |
| Provider Name | Shondra Cizek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740949239 PECOS PAC ID: 5597116434 Enrollment ID: I20240104004043 |
| Provider Name | Stephanie Marie Johnson Pace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326709221 PECOS PAC ID: 7911358718 Enrollment ID: I20240105001581 |
| Provider Name | James Thomas Omalley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174147615 PECOS PAC ID: 1951751460 Enrollment ID: I20240105003105 |
| Provider Name | Kathleen Ann Lau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740584895 PECOS PAC ID: 3375994114 Enrollment ID: I20240105003147 |
| Provider Name | Debbie French |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417128794 PECOS PAC ID: 1951752419 Enrollment ID: I20240109002216 |
| Provider Name | Barbara Jean Pannell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346742368 PECOS PAC ID: 7618328188 Enrollment ID: I20240109002455 |
| Provider Name | Matthew Carlson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023362613 PECOS PAC ID: 8022363084 Enrollment ID: I20240110000969 |
| Provider Name | Brandon Engler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629783121 PECOS PAC ID: 3870944259 Enrollment ID: I20240110002208 |
| Provider Name | Jennifer E Fischer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316408800 PECOS PAC ID: 2860844875 Enrollment ID: I20240116000771 |
| Provider Name | Laurie M Albright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174396543 PECOS PAC ID: 1355793399 Enrollment ID: I20240116001677 |
| Provider Name | Gary Blaine Schreiner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699755330 PECOS PAC ID: 9830548429 Enrollment ID: I20240117004149 |
| Provider Name | Suzanne L Foster |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740437078 PECOS PAC ID: 0143672832 Enrollment ID: I20240118001210 |
| Provider Name | Alyssa Klugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255618344 PECOS PAC ID: 1355794280 Enrollment ID: I20240126004084 |
| Provider Name | Renae Maria Dellacroce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366401077 PECOS PAC ID: 7012369788 Enrollment ID: I20240129002858 |
| Provider Name | Hugh M Keating |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962517359 PECOS PAC ID: 5496108177 Enrollment ID: I20240130000412 |
| Provider Name | Dana Rae Krakow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801023619 PECOS PAC ID: 6507219102 Enrollment ID: I20240131000745 |
| Provider Name | Rachel Kari English |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144542275 PECOS PAC ID: 6103279716 Enrollment ID: I20240131001144 |
| Provider Name | Amy Gutknecht |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851873863 PECOS PAC ID: 4587017041 Enrollment ID: I20240131003355 |
| Provider Name | Jenifer Papaccio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033779574 PECOS PAC ID: 4385097260 Enrollment ID: I20240131003541 |
| Provider Name | Nancy Charles Littleford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649570193 PECOS PAC ID: 4789037151 Enrollment ID: I20240201002279 |
| Provider Name | Lori Ahuja |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730954090 PECOS PAC ID: 9931552320 Enrollment ID: I20240201002740 |
| Provider Name | Rebecca Jill Craig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437378924 PECOS PAC ID: 8729431051 Enrollment ID: I20240201004495 |
| Provider Name | Paula Stephani |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306002464 PECOS PAC ID: 1153774484 Enrollment ID: I20240201004618 |
| Provider Name | Joy Simpson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992865398 PECOS PAC ID: 3375891302 Enrollment ID: I20240202000139 |
| Provider Name | Melissa Lynn Balent |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356863799 PECOS PAC ID: 0749633089 Enrollment ID: I20240202000143 |
| Provider Name | Lisa Irene Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609970706 PECOS PAC ID: 9537512876 Enrollment ID: I20240202000263 |
| Provider Name | Sharon Ann Rohde |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831646587 PECOS PAC ID: 8426401761 Enrollment ID: I20240202000321 |
| Provider Name | Julie Rushkewicz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376931469 PECOS PAC ID: 8123471497 Enrollment ID: I20240202001168 |
| Provider Name | Katherine Daugaard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295363992 PECOS PAC ID: 5698118859 Enrollment ID: I20240205004089 |
| Provider Name | Rose Quinn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093241515 PECOS PAC ID: 0749623858 Enrollment ID: I20240206001600 |
| Provider Name | Beth Russell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528414489 PECOS PAC ID: 3779926886 Enrollment ID: I20240206001859 |
| Provider Name | Jennifer Murray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205226917 PECOS PAC ID: 3072956069 Enrollment ID: I20240206004995 |
| Provider Name | Lynnette R Craig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477186484 PECOS PAC ID: 7214370253 Enrollment ID: I20240207001368 |
| Provider Name | Nancy Ellen Pitre-jasko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386263838 PECOS PAC ID: 9830532878 Enrollment ID: I20240207001442 |
| Provider Name | Ashlee Aleena Cespedes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437778271 PECOS PAC ID: 8820431877 Enrollment ID: I20240207001814 |
| Provider Name | Brian Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245570399 PECOS PAC ID: 1052754926 Enrollment ID: I20240207002760 |
| Provider Name | Kimyatta Greathouse Fails |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134396278 PECOS PAC ID: 1951744838 Enrollment ID: I20240207003503 |
| Provider Name | Jenna Deubler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114278892 PECOS PAC ID: 9133562937 Enrollment ID: I20240208002756 |
| Provider Name | Patrick Leonard Jeter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487069357 PECOS PAC ID: 4385087022 Enrollment ID: I20240208004613 |
| Provider Name | Nancy Mae Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528636990 PECOS PAC ID: 3072956762 Enrollment ID: I20240209001777 |
| Provider Name | Melissa Beth Smart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003121765 PECOS PAC ID: 7315380987 Enrollment ID: I20240211000055 |
| Provider Name | Mary Gretchen Hoggatt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902526072 PECOS PAC ID: 0446693964 Enrollment ID: I20240212001627 |
| Provider Name | Martin Christopher Dee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417150087 PECOS PAC ID: 8325481849 Enrollment ID: I20240212001715 |
| Provider Name | Sarah Elizabeth Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225224009 PECOS PAC ID: 2668815101 Enrollment ID: I20240212002445 |
| Provider Name | Lynn S Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407183056 PECOS PAC ID: 8224471784 Enrollment ID: I20240212003103 |
| Provider Name | Jo-ann Cahill O'neil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447457106 PECOS PAC ID: 8224471719 Enrollment ID: I20240212003838 |
| Provider Name | Alison E Mcginty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578992848 PECOS PAC ID: 4688017049 Enrollment ID: I20240213002175 |
| Provider Name | Jane Dally |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174895213 PECOS PAC ID: 5991149387 Enrollment ID: I20240213003519 |
| Provider Name | Robin Trent Levitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477073716 PECOS PAC ID: 7416391867 Enrollment ID: I20240214000926 |
| Provider Name | Gina Michelle Tambone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295939213 PECOS PAC ID: 1951790765 Enrollment ID: I20240214001738 |
| Provider Name | Janet Yelowchan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215994124 PECOS PAC ID: 9133563422 Enrollment ID: I20240214002539 |
| Provider Name | Ryan A Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912374844 PECOS PAC ID: 7810331139 Enrollment ID: I20240214003502 |
| Provider Name | Kathryn Montgomery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730374018 PECOS PAC ID: 7618311887 Enrollment ID: I20240215001035 |
| Provider Name | Francine Elizabeth Becker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477080620 PECOS PAC ID: 7113361312 Enrollment ID: I20240215002763 |
| Provider Name | Laura D Byard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427233147 PECOS PAC ID: 5092159210 Enrollment ID: I20240215002935 |
| Provider Name | Leslie Ann Holmes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386962538 PECOS PAC ID: 9335583574 Enrollment ID: I20240215003784 |
| Provider Name | Angela Dawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538508643 PECOS PAC ID: 2769616481 Enrollment ID: I20240216000068 |
| Provider Name | Nannette Florin Amodeo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801305982 PECOS PAC ID: 7618311796 Enrollment ID: I20240216000777 |
| Provider Name | Sasha Petrovick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093176257 PECOS PAC ID: 3375987472 Enrollment ID: I20240216001487 |
| Provider Name | Katharine Anne Gannon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447568720 PECOS PAC ID: 1456795459 Enrollment ID: I20240219000116 |
| Provider Name | Amanda Kayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174273379 PECOS PAC ID: 5597109595 Enrollment ID: I20240219000279 |
| Provider Name | Lorri Lynn Wesson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891925822 PECOS PAC ID: 0143664169 Enrollment ID: I20240219000600 |
| Provider Name | Huiling Wang Pritchett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891366365 PECOS PAC ID: 4688018625 Enrollment ID: I20240219001456 |
| Provider Name | Jessica Anne Mortensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356688683 PECOS PAC ID: 2466896303 Enrollment ID: I20240219001942 |
| Provider Name | Justin Paul Lark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962087445 PECOS PAC ID: 7618310228 Enrollment ID: I20240219002134 |
| Provider Name | Isabella Chayne I Boutillette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508990086 PECOS PAC ID: 5193169985 Enrollment ID: I20240220003771 |
| Provider Name | Krista Noelle Christensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174734669 PECOS PAC ID: 9032553771 Enrollment ID: I20240221001112 |
| Provider Name | Michelle Keelan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518556448 PECOS PAC ID: 1052755717 Enrollment ID: I20240221001704 |
| Provider Name | Thomas Saathoff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003415068 PECOS PAC ID: 3476996554 Enrollment ID: I20240221003520 |
| Provider Name | Alysia Patel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508309618 PECOS PAC ID: 7911341581 Enrollment ID: I20240222001333 |
| Provider Name | Cynthia Tanaka |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962940205 PECOS PAC ID: 5294179743 Enrollment ID: I20240222004326 |
| Provider Name | Brenda G Demouchet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083820989 PECOS PAC ID: 9830534320 Enrollment ID: I20240223001985 |
| Provider Name | Diane Policelli |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649504580 PECOS PAC ID: 7214372762 Enrollment ID: I20240223003650 |
| Provider Name | Roberta Irene Perno |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760618086 PECOS PAC ID: 0446695712 Enrollment ID: I20240226003320 |
| Provider Name | Katarzyna Poczwardowska |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508314493 PECOS PAC ID: 7113362393 Enrollment ID: I20240227003647 |
| Provider Name | Michael Gusack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548285158 PECOS PAC ID: 6507201704 Enrollment ID: I20240227004401 |
| Provider Name | Kristin Janine Myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871175802 PECOS PAC ID: 3173968385 Enrollment ID: I20240228000040 |
| Provider Name | Krista Leigh Bickelhaupt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932412608 PECOS PAC ID: 5193160315 Enrollment ID: I20240228000253 |
| Provider Name | Janice Lea Woods |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689826059 PECOS PAC ID: 9335584556 Enrollment ID: I20240228000415 |
| Provider Name | Joy Lyn Hetzler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841938925 PECOS PAC ID: 9133564362 Enrollment ID: I20240228000463 |
| Provider Name | Laura Lee Fehmi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689072423 PECOS PAC ID: 5496190621 Enrollment ID: I20240228000526 |
| Provider Name | Stacey Carol Dirzuweit |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699969899 PECOS PAC ID: 9133564206 Enrollment ID: I20240228002385 |
| Provider Name | Martin Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639743982 PECOS PAC ID: 4082059191 Enrollment ID: I20240228003786 |
| Provider Name | William David Fyler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881922607 PECOS PAC ID: 2567807506 Enrollment ID: I20240229000448 |
| Provider Name | Leah Sadeghi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356734719 PECOS PAC ID: 2163867144 Enrollment ID: I20240229001626 |
| Provider Name | Petra Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518618610 PECOS PAC ID: 4385089127 Enrollment ID: I20240301003618 |
| Provider Name | Kimberly Ann Emmert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477076784 PECOS PAC ID: 8628413382 Enrollment ID: I20240304002978 |
| Provider Name | David Bryan Friedentag |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063028637 PECOS PAC ID: 3971948522 Enrollment ID: I20240305002505 |
| Provider Name | Kendal Wellington Humes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508221276 PECOS PAC ID: 0446696058 Enrollment ID: I20240306000251 |
| Provider Name | Monique Phillip |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629510805 PECOS PAC ID: 1951747401 Enrollment ID: I20240307000692 |
| Provider Name | Alexis A Baca-spry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598194672 PECOS PAC ID: 1951746460 Enrollment ID: I20240307001261 |
| Provider Name | Tamara Graff |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568740124 PECOS PAC ID: 1355787730 Enrollment ID: I20240307001834 |
| Provider Name | Diana L Fresquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275768277 PECOS PAC ID: 7113363516 Enrollment ID: I20240307002871 |
| Provider Name | Melissa Kimberlee Farmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689216327 PECOS PAC ID: 7214373679 Enrollment ID: I20240308000412 |
| Provider Name | Anna Lauer Roy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831483981 PECOS PAC ID: 5496191751 Enrollment ID: I20240308000722 |
| Provider Name | Joni D Beckner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770792269 PECOS PAC ID: 6002252327 Enrollment ID: I20240308003074 |
| Provider Name | Kayla Rosina Ennett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902336704 PECOS PAC ID: 6406292622 Enrollment ID: I20240311002257 |
| Provider Name | Kenneth James Pott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891987012 PECOS PAC ID: 3274979406 Enrollment ID: I20240311002774 |
| Provider Name | Anna Tiffany Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134353741 PECOS PAC ID: 7810333986 Enrollment ID: I20240312000163 |
| Provider Name | Tamara Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164960522 PECOS PAC ID: 8628414711 Enrollment ID: I20240312000920 |
| Provider Name | Kellie Jean Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376160325 PECOS PAC ID: 2567808678 Enrollment ID: I20240312001713 |
| Provider Name | Emily Lutringer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215286372 PECOS PAC ID: 7517303621 Enrollment ID: I20240312001893 |
| Provider Name | Dezerae Daniels |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447936141 PECOS PAC ID: 0749626745 Enrollment ID: I20240313001174 |
| Provider Name | Lynne Marie Rosenberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336586981 PECOS PAC ID: 5395181309 Enrollment ID: I20240313001499 |
| Provider Name | Toni Lavely |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558819961 PECOS PAC ID: 4587000401 Enrollment ID: I20240313002332 |
| Provider Name | Julia Al-sager |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861862161 PECOS PAC ID: 6002252921 Enrollment ID: I20240313002456 |
| Provider Name | Miranda Day |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396338067 PECOS PAC ID: 1850737719 Enrollment ID: I20240313003835 |
| Provider Name | Nicole Suzanne Snyder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386397214 PECOS PAC ID: 4385080266 Enrollment ID: I20240313004577 |
| Provider Name | Brianna Marie Montoya-anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780120808 PECOS PAC ID: 7810333796 Enrollment ID: I20240314000065 |
| Provider Name | Elaine Carol Blackmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063587756 PECOS PAC ID: 9739525593 Enrollment ID: I20240314003323 |
| Provider Name | Lisa Dorner-zupancic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205184322 PECOS PAC ID: 8729424502 Enrollment ID: I20240314004341 |
| Provider Name | Lisa M Domengeaux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730663873 PECOS PAC ID: 1759727456 Enrollment ID: I20240315001134 |
| Provider Name | Hira S Siddiqui |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588232920 PECOS PAC ID: 2264878958 Enrollment ID: I20240318000176 |
| Provider Name | Clive Russell Hallam |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811154321 PECOS PAC ID: 2860876653 Enrollment ID: I20240318001418 |
| Provider Name | Kailey Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235676511 PECOS PAC ID: 3971940610 Enrollment ID: I20240318002115 |
| Provider Name | Demian Patricia Wood |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578622668 PECOS PAC ID: 4587001185 Enrollment ID: I20240319000801 |
| Provider Name | Shayna Lynn Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598910069 PECOS PAC ID: 5799122206 Enrollment ID: I20240320000703 |
| Provider Name | Paula K Nolls |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093345720 PECOS PAC ID: 2961849484 Enrollment ID: I20240320001164 |
| Provider Name | Laura Renee Burk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760987796 PECOS PAC ID: 5597102020 Enrollment ID: I20240320001268 |
| Provider Name | Leslie L Way |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790808491 PECOS PAC ID: 2769829209 Enrollment ID: I20240320001738 |
| Provider Name | Annemie Van Linden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265865588 PECOS PAC ID: 5496192882 Enrollment ID: I20240320004255 |
| Provider Name | Nicole Bernardi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164292967 PECOS PAC ID: 0345687752 Enrollment ID: I20240321000564 |
| Provider Name | Nicole Cristina Robles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598995631 PECOS PAC ID: 2365889631 Enrollment ID: I20240321003151 |
| Provider Name | Patrick J Cole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366595142 PECOS PAC ID: 9032556337 Enrollment ID: I20240321004229 |
| Provider Name | Jillian Quinn Lees |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437806106 PECOS PAC ID: 3476990623 Enrollment ID: I20240322002895 |
| Provider Name | Layla M Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972940385 PECOS PAC ID: 3577900760 Enrollment ID: I20240322004319 |
| Provider Name | Michael Stephen Clifton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124611405 PECOS PAC ID: 8628415775 Enrollment ID: I20240325002003 |
| Provider Name | Susan Kaye Klein |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588834253 PECOS PAC ID: 6103263256 Enrollment ID: I20240325002299 |
| Provider Name | Brenda Wilking |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881770238 PECOS PAC ID: 0345687448 Enrollment ID: I20240325004069 |
| Provider Name | Trisha Danielle Broadright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588049951 PECOS PAC ID: 1759728868 Enrollment ID: I20240326000172 |
| Provider Name | Meggan M Mcbride-garwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437441284 PECOS PAC ID: 6608213665 Enrollment ID: I20240326002417 |
| Provider Name | Marissa Rose Foster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225537434 PECOS PAC ID: 9830536770 Enrollment ID: I20240327000969 |
| Provider Name | Camille S Rhoades |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639498215 PECOS PAC ID: 2668810409 Enrollment ID: I20240329001097 |
| Provider Name | Kevin Lapoint |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942719679 PECOS PAC ID: 4880032549 Enrollment ID: I20240401002880 |
| Provider Name | Carrie Lei Slavens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780286195 PECOS PAC ID: 5294172292 Enrollment ID: I20240401003130 |
| Provider Name | Christine Lynn Tierramar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184212813 PECOS PAC ID: 4587002167 Enrollment ID: I20240402000709 |
| Provider Name | Yevgeniy Slutskiy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912279639 PECOS PAC ID: 0042663098 Enrollment ID: I20240402001331 |
| Provider Name | Sandra Decarolis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487154811 PECOS PAC ID: 1951749555 Enrollment ID: I20240402001448 |
| Provider Name | Sandra Indiana Selvon-semin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083232987 PECOS PAC ID: 0446698062 Enrollment ID: I20240402002173 |
| Provider Name | William Boniface |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104202597 PECOS PAC ID: 7810335338 Enrollment ID: I20240403002025 |
| Provider Name | Lindsay Ann Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114240710 PECOS PAC ID: 9234577693 Enrollment ID: I20240403004000 |
| Provider Name | Emily Stern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790355097 PECOS PAC ID: 6002254406 Enrollment ID: I20240404001264 |
| Provider Name | Angela Mccasland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881041994 PECOS PAC ID: 7517305915 Enrollment ID: I20240404001369 |
| Provider Name | Julie Pepin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407375629 PECOS PAC ID: 1456799865 Enrollment ID: I20240404001690 |
| Provider Name | Jean Marie Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932863875 PECOS PAC ID: 9032557210 Enrollment ID: I20240406000505 |
| Provider Name | Tobias Gale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669135687 PECOS PAC ID: 5698113538 Enrollment ID: I20240410003549 |
| Provider Name | Janaina Toledo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396363164 PECOS PAC ID: 2466891221 Enrollment ID: I20240412004347 |
| Provider Name | Seija Curtin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902211626 PECOS PAC ID: 6406295195 Enrollment ID: I20240415000849 |
| Provider Name | Canna O'carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770101297 PECOS PAC ID: 0547609257 Enrollment ID: I20240415001331 |
| Provider Name | Stephanie Ann Trudeaux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962024984 PECOS PAC ID: 1254770837 Enrollment ID: I20240416000321 |
| Provider Name | Sara Elizabeth Bauer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659025039 PECOS PAC ID: 6709225329 Enrollment ID: I20240416001868 |
| Provider Name | Mary Joalice Milan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750014478 PECOS PAC ID: 8527407089 Enrollment ID: I20240416003610 |
| Provider Name | Dawn Denise Warren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154749109 PECOS PAC ID: 7214376771 Enrollment ID: I20240416003768 |
| Provider Name | Kelsie Leigh Mcguire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003425083 PECOS PAC ID: 2264871219 Enrollment ID: I20240423003898 |
| Provider Name | Melanie Mcginn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245933522 PECOS PAC ID: 0840630695 Enrollment ID: I20240426003495 |
| Provider Name | Debra Thornton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982182366 PECOS PAC ID: 9638519200 Enrollment ID: I20240430000789 |
| Provider Name | Susan Margaret Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922260249 PECOS PAC ID: 6608216890 Enrollment ID: I20240506000627 |
| Provider Name | Penelope Hazinakis-swainston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942749544 PECOS PAC ID: 1456791540 Enrollment ID: I20240507001726 |
| Provider Name | Lesli St. John |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598160954 PECOS PAC ID: 2567803307 Enrollment ID: I20240510003211 |
| Provider Name | Shemeah Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598912578 PECOS PAC ID: 3678926268 Enrollment ID: I20240516002175 |
| Provider Name | David G. Hayden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225162696 PECOS PAC ID: 3779925805 Enrollment ID: I20240521003451 |
| Provider Name | Cynthia Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588113179 PECOS PAC ID: 4981046992 Enrollment ID: I20240522002249 |
| Provider Name | Jennifer Pelo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376917369 PECOS PAC ID: 3870935703 Enrollment ID: I20240523002529 |
| Provider Name | Melissa Raddatz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386098010 PECOS PAC ID: 0244672012 Enrollment ID: I20240524000351 |
| Provider Name | Krystoffer Loren Bowman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386150738 PECOS PAC ID: 8123460516 Enrollment ID: I20240530003494 |
| Provider Name | Kristi Alisssa Gallego |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487001525 PECOS PAC ID: 9830631167 Enrollment ID: I20240603000502 |
| Provider Name | Michael Patrick Mccafferty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457530081 PECOS PAC ID: 0547702706 Enrollment ID: I20240604001820 |
| Provider Name | Luis Kashdaro Luna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003330309 PECOS PAC ID: 1355883463 Enrollment ID: I20240604003980 |
| Provider Name | Vandana Otto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578260212 PECOS PAC ID: 4587106414 Enrollment ID: I20240606004374 |
| Provider Name | Amanda Crossland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588060073 PECOS PAC ID: 3678015518 Enrollment ID: I20240607000273 |
| Provider Name | Angela Kaye Quinn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821165945 PECOS PAC ID: 9335681188 Enrollment ID: I20240607000921 |
| Provider Name | Nancy Raffaele-ilic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598420861 PECOS PAC ID: 8022550821 Enrollment ID: I20240607002679 |
| Provider Name | Windy Doan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619399565 PECOS PAC ID: 7113469917 Enrollment ID: I20240607002682 |
| Provider Name | Cindy Geiger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306277165 PECOS PAC ID: 7315489853 Enrollment ID: I20240612000090 |
| Provider Name | Rachel Everett |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902155013 PECOS PAC ID: 2163965526 Enrollment ID: I20240613004428 |
| Provider Name | Kristin N Gearhart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083816730 PECOS PAC ID: 4880137249 Enrollment ID: I20240613004475 |
| Provider Name | Charlotte Mulloy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518619006 PECOS PAC ID: 1254874530 Enrollment ID: I20240614000802 |
| Provider Name | Jonathan Sargent |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912325739 PECOS PAC ID: 8921541210 Enrollment ID: I20240614001451 |
| Provider Name | Laine Covington-goren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659795888 PECOS PAC ID: 1658814454 Enrollment ID: I20240621000839 |
| Provider Name | Arthur Ginley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750747713 PECOS PAC ID: 9133662737 Enrollment ID: I20240624004810 |
| Provider Name | Laurien Golder-manning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073009189 PECOS PAC ID: 2264975861 Enrollment ID: I20240624005089 |
| Provider Name | Jennifer Lynn Head |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932600434 PECOS PAC ID: 5092258517 Enrollment ID: I20240625000666 |
| Provider Name | Nathan R Havens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124524459 PECOS PAC ID: 4789128299 Enrollment ID: I20240625004238 |
| Provider Name | Joni Lownsdale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790144749 PECOS PAC ID: 4880138353 Enrollment ID: I20240626001504 |
| Provider Name | Courtney Eve Holbrook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407512106 PECOS PAC ID: 4082000872 Enrollment ID: I20240626004590 |
| Provider Name | Nicole Harrison |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730618802 PECOS PAC ID: 5496299851 Enrollment ID: I20240627000419 |
| Provider Name | Roger A Coughlan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356335392 PECOS PAC ID: 2567906712 Enrollment ID: I20240628003169 |
| Provider Name | Molly Mclaren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013311810 PECOS PAC ID: 4981148046 Enrollment ID: I20240628003708 |
| Provider Name | Diane Lynn Ruby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710045356 PECOS PAC ID: 9234673302 Enrollment ID: I20240630000065 |
| Provider Name | Julyet Lace Kudo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013107333 PECOS PAC ID: 6507300571 Enrollment ID: I20240701003546 |
| Provider Name | Laura J Sigoloff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417288374 PECOS PAC ID: 4688118508 Enrollment ID: I20240703000207 |
| Provider Name | Michael Peter Biggans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134742091 PECOS PAC ID: 1355885161 Enrollment ID: I20240703004033 |
| Provider Name | Halldis Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164551560 PECOS PAC ID: 4385188036 Enrollment ID: I20240705000218 |
| Provider Name | Kynedii Kimble |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780451179 PECOS PAC ID: 3476095407 Enrollment ID: I20240705000386 |
| Provider Name | Elizabeth Souba |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578278586 PECOS PAC ID: 9739624933 Enrollment ID: I20240711003948 |
| Provider Name | Nicole Michelle Grizzle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477165058 PECOS PAC ID: 0749725802 Enrollment ID: I20240712001910 |
| Provider Name | Julian Lyle Brodsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588270854 PECOS PAC ID: 1951846856 Enrollment ID: I20240716001815 |
| Provider Name | Amy Sevegny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740785153 PECOS PAC ID: 0042756785 Enrollment ID: I20240718001934 |
| Provider Name | Stephen Paul Willmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699088492 PECOS PAC ID: 8022554260 Enrollment ID: I20240723004680 |
| Provider Name | Suzanne Elizabeth Wagster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942451778 PECOS PAC ID: 4385180546 Enrollment ID: I20240724000614 |
| Provider Name | Loretta Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720852247 PECOS PAC ID: 3870039894 Enrollment ID: I20240725002324 |
| Provider Name | Taejin Kim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588107205 PECOS PAC ID: 3577000132 Enrollment ID: I20240801001195 |
| Provider Name | Donald Hupp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568654242 PECOS PAC ID: 6507950201 Enrollment ID: I20240807002888 |
| Provider Name | Dylan Rae Paulson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548709108 PECOS PAC ID: 9133667934 Enrollment ID: I20240812001847 |
| Provider Name | Krista N Haller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003140625 PECOS PAC ID: 3779021928 Enrollment ID: I20240828002825 |
| Provider Name | Brooke Coffey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043691546 PECOS PAC ID: 5991244071 Enrollment ID: I20240903004335 |
| Provider Name | Michael Lauren Sims |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851028922 PECOS PAC ID: 7214476308 Enrollment ID: I20240904000147 |
| Provider Name | Wilber Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063129898 PECOS PAC ID: 3678946803 Enrollment ID: I20240907000249 |
| Provider Name | Shannon Wallace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538609847 PECOS PAC ID: 4688114317 Enrollment ID: I20240909004698 |
| Provider Name | Steven W. Scifres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932788569 PECOS PAC ID: 6406396993 Enrollment ID: I20240911001409 |
| Provider Name | Kelly Cathleen Mcginnis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255054938 PECOS PAC ID: 4789124900 Enrollment ID: I20240913001846 |
| Provider Name | Zoe E Vlastos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396436861 PECOS PAC ID: 6305386533 Enrollment ID: I20240913002341 |
| Provider Name | Laura Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447701610 PECOS PAC ID: 2961941497 Enrollment ID: I20240924002004 |
| Provider Name | Jessie Mclaughlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457889982 PECOS PAC ID: 5991146615 Enrollment ID: I20240925000426 |
| Provider Name | Melia Snyder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417223686 PECOS PAC ID: 7315387503 Enrollment ID: I20240925000503 |
| Provider Name | Stephanie Lauren Sattar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265924799 PECOS PAC ID: 2062760697 Enrollment ID: I20241001003450 |
| Provider Name | Lisel Marie Von Duyke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740677707 PECOS PAC ID: 1759812639 Enrollment ID: I20241002002837 |
| Provider Name | Nicole Marcisz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033864251 PECOS PAC ID: 3870024706 Enrollment ID: I20241003000190 |
| Provider Name | Rachel Alber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467042309 PECOS PAC ID: 5193256964 Enrollment ID: I20241003002183 |
| Provider Name | Christine Fay Yan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689190761 PECOS PAC ID: 7315481959 Enrollment ID: I20241003002435 |
| Provider Name | Brenda F Clark-dandridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871048223 PECOS PAC ID: 4981135530 Enrollment ID: I20241007001816 |
| Provider Name | Frances E Weitzel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386874766 PECOS PAC ID: 4981136314 Enrollment ID: I20241010001078 |
| Provider Name | Christine Clawley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497294763 PECOS PAC ID: 9537513189 Enrollment ID: I20241010003092 |
| Provider Name | Courtney Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427725878 PECOS PAC ID: 3779971171 Enrollment ID: I20241014004425 |
| Provider Name | Teresa D Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083031538 PECOS PAC ID: 7214469394 Enrollment ID: I20241022001245 |
| Provider Name | Erik Schlimmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306463948 PECOS PAC ID: 0345773024 Enrollment ID: I20241103000038 |
| Provider Name | Regina Hopkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528408259 PECOS PAC ID: 1951835560 Enrollment ID: I20241105001880 |
| Provider Name | Marissa Renee Moss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295317782 PECOS PAC ID: 2264966829 Enrollment ID: I20241106000024 |
| Provider Name | Cher Kirk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043456379 PECOS PAC ID: 3971037771 Enrollment ID: I20241115003245 |
| Provider Name | Bethany Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598319675 PECOS PAC ID: 2264866060 Enrollment ID: I20241120001348 |
| Provider Name | Andrea Morocoima |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912595976 PECOS PAC ID: 4486189834 Enrollment ID: I20241122001122 |
| Provider Name | Laura Lynn Lekang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376060160 PECOS PAC ID: 4789119009 Enrollment ID: I20241123000143 |
| Provider Name | Martha Shoup |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972707669 PECOS PAC ID: 2264967272 Enrollment ID: I20241129000112 |
| Provider Name | Justine Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841866878 PECOS PAC ID: 2062948854 Enrollment ID: I20241203003354 |
| Provider Name | Michelle Chabino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558648691 PECOS PAC ID: 4587190293 Enrollment ID: I20241204004409 |
| Provider Name | Karen M Khaton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932524394 PECOS PAC ID: 3779019914 Enrollment ID: I20241211000659 |
| Provider Name | Kiara Dixon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528438686 PECOS PAC ID: 2062948276 Enrollment ID: I20241211003322 |
| Provider Name | Melissa Langlands |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629470224 PECOS PAC ID: 4688086861 Enrollment ID: I20241213000436 |
| Provider Name | Melissa Frances Weiler-cabral |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306271341 PECOS PAC ID: 6103352034 Enrollment ID: I20241216000641 |
| Provider Name | Melissa K Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346683612 PECOS PAC ID: 8325575111 Enrollment ID: I20241217004451 |
| Provider Name | Brenda Keirns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033851159 PECOS PAC ID: 6103353784 Enrollment ID: I20241220000334 |
| Provider Name | Richard Allen Hipp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396048922 PECOS PAC ID: 8426585738 Enrollment ID: I20241227001904 |
| Provider Name | Peter Bordelon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427306232 PECOS PAC ID: 9739337932 Enrollment ID: I20241227002377 |
| Provider Name | Elizabeth Katharine Collins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013083799 PECOS PAC ID: 7719415025 Enrollment ID: I20250115000788 |
| Provider Name | Shellie L Lasiter-read |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174376529 PECOS PAC ID: 8022546282 Enrollment ID: I20250115002826 |
| Provider Name | Brittany Suzanne Stark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912581562 PECOS PAC ID: 4789036823 Enrollment ID: I20250123002455 |
| Provider Name | Caroline Toennis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023324563 PECOS PAC ID: 5698100113 Enrollment ID: I20250129003231 |
| Provider Name | Raymell English |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255700464 PECOS PAC ID: 6204365661 Enrollment ID: I20250130000043 |
| Provider Name | Dee Strbiak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801951322 PECOS PAC ID: 9234668542 Enrollment ID: I20250130002166 |
| Provider Name | Fran M Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891913331 PECOS PAC ID: 3274063490 Enrollment ID: I20250203003602 |
| Provider Name | James D Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427271360 PECOS PAC ID: 5294265385 Enrollment ID: I20250204003320 |
| Provider Name | Daniel Adam Stein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043760044 PECOS PAC ID: 8527393446 Enrollment ID: I20250207001495 |
| Provider Name | Patricia Ann Choudhary-grigley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396056990 PECOS PAC ID: 7113457805 Enrollment ID: I20250211001040 |
| Provider Name | Maigan Oliver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700013323 PECOS PAC ID: 6608306162 Enrollment ID: I20250212003884 |
| Provider Name | Mariah Rossel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528536943 PECOS PAC ID: 6103346408 Enrollment ID: I20250217002532 |
| Provider Name | Abigail Schreiber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457885568 PECOS PAC ID: 9335669340 Enrollment ID: I20250220003170 |
| Provider Name | Lee Mendenhall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437778834 PECOS PAC ID: 5496177073 Enrollment ID: I20250221000456 |
| Provider Name | Emily Nikoley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497467112 PECOS PAC ID: 8325560782 Enrollment ID: I20250314003175 |
| Provider Name | Christine J. Mezza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114103686 PECOS PAC ID: 5991227233 Enrollment ID: I20250317002137 |
| Provider Name | Sally Ann Blevins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467751081 PECOS PAC ID: 9335661073 Enrollment ID: I20250321002554 |
| Provider Name | Kade Rucker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235772930 PECOS PAC ID: 8224552633 Enrollment ID: I20250408000020 |
| Provider Name | Chad Wayne Shaklee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477241974 PECOS PAC ID: 1850816794 Enrollment ID: I20250423001580 |
| Provider Name | Sarah E Whipple |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639535370 PECOS PAC ID: 4981121647 Enrollment ID: I20250506002015 |
| Provider Name | Nicole Melynn Kindt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851545586 PECOS PAC ID: 5294253118 Enrollment ID: I20250514003877 |
| Provider Name | Patricia S Abrahamson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538170477 PECOS PAC ID: 9537206495 Enrollment ID: I20250515002062 |
| Provider Name | Timothy Dennis Anspach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306160437 PECOS PAC ID: 4587183058 Enrollment ID: I20250528001706 |
| Provider Name | Jonathan Michael Portillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972226793 PECOS PAC ID: 9133639438 Enrollment ID: I20250606000749 |
| Provider Name | Amanda Mattila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518738715 PECOS PAC ID: 5193235067 Enrollment ID: I20250610001464 |
| Provider Name | Catherine Ann Owens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962033845 PECOS PAC ID: 6901316652 Enrollment ID: I20250611001262 |
Unlimited Potential Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4610 S Ulster St, Ste 150, Denver, CO 80237 Phone: 303-290-7407 | |
Clinical Psychologist Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 90 Madison St, Suite 402, Denver, CO 80206 Phone: 720-272-0565 | |
Mindsolutions Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2204 N Emerson St, Denver, CO 80205 Phone: 970-424-4061 | |
Field Of Vision Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1177 N Grant St Ste 308, Denver, CO 80203 Phone: 720-668-6482 | |
Alis Behavioral Health Of Colorado Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 S Colorado Blvd Ste B705, Denver, CO 80222 Phone: 888-528-3860 | |
Bonnie Brae Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 N Grant St Ste R, Denver, CO 80203 Phone: 720-432-7432 | |
Succeed Aba Co Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7535 E Hampden Ave Ste 400, Denver, CO 80231 Phone: 463-777-8323 |