| Spark Psychological Services Llc | |
|
363 Valle Escondido Dr Durango CO 81303-7960 | |
| (970) 905-5071 | |
| Not Available |
| Full Name | Spark Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 363 Valle Escondido Dr, Durango, Colorado |
| Authorized Official Name and Position | Jennifer Rhoda Lucchesi (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 9709035071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Psychological Services Llc 363 Valle Escondido Dr Durango CO 81303-7960 Ph: (970) 903-5071 | Spark Psychological Services Llc 363 Valle Escondido Dr Durango CO 81303-7960 Ph: (970) 905-5071 |
| NPI Number | 1023810074 |
|---|---|
| Provider Enumeration Date | 03/27/2025 |
| Last Update Date | 10/01/2025 |
| Certification Date | 10/01/2025 |
| Medicare PECOS PAC ID | 5698291615 |
|---|---|
| Medicare Enrollment ID | O20250502000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023810074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jennifer Rhoda Lucchesi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891972170 PECOS PAC ID: 2466741319 Enrollment ID: I20160516001549 |
Janet M Wolf Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Florida Rd Unit 11, Durango, CO 81301 Phone: 970-769-1967 | |
Lindsay Stonecash-bauer Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2530 Colorado Ave Unit 2a, Durango, CO 81301 Phone: 970-946-8002 | |
D E Schenk Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 W 14th Street, Durango, CO 87301 Phone: 970-385-7933 Fax: 970-385-7933 | |
Jjlpcounselor Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2508 Delwood Ave, Durango, CO 81301 Phone: 970-946-3709 | |
Tory Smith, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 857 1/2 E 5th Ave, Durango, CO 81301 Phone: 970-501-5650 | |
Lisa Turcott-gutt Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 County Road 250 Unit 8, Durango, CO 81301 Phone: 970-426-8300 |