ILLUMINATED PATH LLC (NPI# 1093106957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093106957 |
Entity Type | Organization |
Organization Name | ILLUMINATED PATH LLC |
Practice Address |
305 W South 1st St Johnstown CO 80534-9086 |
Mailing Address |
567 S Saint Louis Ave Loveland CO 80537-6401 |
Practice Telephone | 9702312681 |
Mailing Telephone | 9703910201 |
Enumeration Date | 2015-02-13 |
Last Update Date | 2015-02-13 |
Authorized Official Name | CHRISTY KRAFT (OWNER) |
Authorized Official Telephone | 9703910201 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
5634 | CO | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689138877 | Illuminated Path LLC | Social Worker | 7351 W Charleston Blvd Ste 140, Las Vegas, NV 89117-1572 | 2019-01-22 |
Street Address |
305 W SOUTH 1ST ST |
City | JOHNSTOWN |
State | CO |
Zip Code | 80534-9086 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376034496 | Erin Giveans | Counselor | 305 W South 1st St, Johnstown, CO 80534-9086 | 2018-05-24 |
1497102933 | Tiffani Martin | Psychologist | 305 W South 1st St, Johnstown, CO 80534-9086 | 2016-05-13 |
1477940336 | Anna Mccain | Counselor | 305 W South 1st St, Johnstown, CO 80534-9086 | 2015-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790299410 | Bauer Occupational Therapy, LLC | Occupational Therapist | 442 La Costa Ln, Johnstown, CO 80534 | 2017-11-17 |
1942698071 | Family Physicians of Greeley, LLP | Family Medicine | 473 Castle Pines Ave, Suite 1, Johnstown, CO 80534 | 2014-12-23 |
1376761924 | Steven L Martin | Dentist | 5 N. Parish Ave., Johnstown, CO 80534 | 2007-04-20 |
1699896613 | Ashlea Elizabeth Franques | Pediatrics | 4435 Ronald Reagan Blvd, Johnstown, CO 80534 | 2007-04-03 |
1720069198 | Kenneth A Pettine | Orthopaedic Surgery | 4795 Larimer Parkway, Johnstown, CO 80534 | 2005-11-10 |
1043858251 | Kristen Mcfarland | Physical Therapist | 247 Mountain Avenue, Berthoud, CO 80534 | 2019-12-18 |
1841780400 | Colorado Rehabilitation Associates LLC | Physical Medicine & Rehabilitation | 4401 Union St, Johnstown, CO 80534 | 2018-05-18 |
1073059523 | Santibanez Aguirre PC | Hospitalist | 4401a Union Street, Johnstown, CO 80534 | 2017-01-09 |
1811142524 | 25/34 Plastic Surgery Associates, PC | Specialist | 4450 Union St., Suite 100, Johnstown, CO 80534-0001 | 2008-11-21 |
1790794824 | Marc Anthony Masotti | Internal Medicine | 4401a Union St, Johnstown, CO 80534-2800 | 2006-08-07 |
Find all providers in zip 80534 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447851662 | Shari Mcclaren Counseling | Counselor | 1360 Eisenhower Blvd Ste 404, Johnstown, PA 15904-3341 | 2020-11-04 |
1427447499 | Cynthia Ann Lockrow | Counselor | 2-8 West Main Street, Johnstown, NY 12095 | 2015-01-14 |
1205131794 | Shanna Marie Handzus | Counselor | 110 Coal St, Johnstown, PA 15901-2311 | 2011-01-14 |
1205899960 | Jeanne A Foster | Counselor | 1765 Goucher Street Suite 150, Johnstown, PA 15905 | 2006-04-11 |
1376034496 | Erin Giveans | Counselor | 305 W South 1st St, Johnstown, CO 80534-9086 | 2018-05-24 |
1790298628 | Rebecca Padgett | Counselor | 119 Walnut St, Johnstown, PA 15901-1625 | 2017-11-14 |
1770094336 | Kelley S Limerick-hand | Counselor | 214 College Park Plz, Johnstown, PA 15904-2833 | 2017-10-23 |
1881119998 | Kristen Scott-larson | Counselor | 188 Gilbert St, Johnstown, PA 15906-3238 | 2017-08-09 |
1558756494 | Bobbi Kisko | Counselor | 417 Main St, Johnstown, PA 15901-1808 | 2015-03-30 |
1659772655 | Natasha M Fox | Counselor | 638 Ferndale Ave, Johnstown, PA 15905-3946 | 2014-09-09 |
Find all providers in JOHNSTOWN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.