LORELEI BALDERSTON


Address: 3225 Independence Rd, Canon City, CO 81212-9380
Phone: 7192752351

LORELEI BALDERSTON (NPI# 1104338193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104338193
Entity Type Individual
Full Name LORELEI BALDERSTON
Practice Address 3225 Independence Rd
Canon City
CO 81212-9380
Practice Telephone 7192752351
Mailing Telephone 7192752351
Enumeration Date 2017-10-30
Last Update Date 2017-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
ACB.0008224 CO Behavioral Health & Social Service Providers

Office Location

Street Address 3225 INDEPENDENCE RD
City CANON CITY
State CO
Zip Code 81212-9380

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336194299 Mary Ann Elizabeth Alessi-richards Nurse Practitioner 3225 Independence Rd, Canon City, CO 81212-9380 2006-05-22
1598376691 Lana Louise Leonard Social Worker 3225 Independence Rd, Canon City, CO 81212-9380 2020-08-12
1497399570 Marc-andre Rameau Counselor 3225 Independence Rd, Canon City, CO 81212-9380 2019-11-01
1033779574 Jenifer Papaccio Counselor 3225 Independence Rd, Canon City, CO 81212-9380 2019-06-17
1346700572 David Bokel Counselor 3225 Independence Rd, Canon City, CO 81212-9380 2019-03-22
1992263081 Stephanie Traub Counselor 3225 Independence Rd, Canon City, CO 81212-9380 2019-03-07
1205393204 Aurelia N Erivynn Counselor 3225 Independence Rd, Canon City, CO 81212-9380 2019-02-26
1407327547 Marci Lauree Harrison Wright Counselor 3225 Independence Rd, Canon City, CO 81212-9380 2018-12-16
1669942231 Dean Garcia Jr. Peer Specialist 3225 Independence Rd, Canon City, CO 81212 2018-11-27
1235609975 Amy Bergant Peer Specialist 3225 Independence Rd, Canon City, CO 81212-9380 2018-11-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083212393 Buck Jack LLC Physical Therapist Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 2020-10-09
1942841374 Glorious Works Neurotherapy Community/Behavioral Health 115 N 7th Street, Canon City, CO 81212 2019-10-07
1376046292 Lonnie Mccarron Social Worker 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 2018-03-16
1487156964 Patrick Neil Cox Case Manager/Care Coordinator 3239 Independence Road, Canon City, CO 81212 2018-03-01
1831559806 Justin Ensinger Counselor 700 Four Mile Parkway, Canon City, CO 81212 2016-03-03
1710365713 Amber Conover Health Educator 105 N 10th Street, Canon City, CO 81212 2015-05-11
1902073448 Richard R Williams Counselor 612 Field Ave, Canon City, CO 81212 2008-05-14
1861662249 Huh Inc Hearing Instrument Specialist 121 Justice Center Rd Ste D, Canon City, CO 81212 2008-03-03
1013113828 Deborah Eileen Shock Nurse Practitioner 275 W Hwy 50, Canon City, CO 81212 2007-06-27
1245433564 Lindsey Elizabeth Fish Internal Medicine 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 2007-06-06
Find all providers in zip 81212

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750742920 Calvin Robinson Counselor 1320 S 12th St, Canon City, CO 81212-4232 2016-03-15
1972921336 Laurie Schwiem Counselor 2010 East Bijou St., Canon City, CO 81212-9380 2014-04-02
1811333172 Brooke J Beckham Counselor 831 Royal Gorge Blvd Ste 217, Canon City, CO 81212-6709 2013-05-14
1477700565 Canon City Counseling, Inc Counselor 224 N Cottonwood Ave, Canon City, CO 81212-2507 2008-08-20
1902073448 Richard R Williams Counselor 612 Field Ave, Canon City, CO 81212 2008-05-14
1487294955 Brandy Lachelle Alvidrez Counselor 3239 Independence Rd, Canon City, CO 81212-9380 2020-01-13
1265901821 Taletha Higginbotham Counselor 3239 Independence Rd, Canon City, CO 81212-9380 2018-11-13
1033693049 Alan Donald Counselor 602 Yale Pl, Canon City, CO 81212-4611 2018-09-17
1073015368 Laura Kristie Taylor Counselor 3239 Independence Rd, Canon City, CO 81212-9380 2018-03-02
1962902437 Nicole Isabell Palacios Counselor 700 Four Mile Pkwy, Canon City, CO 81212-9114 2018-02-20
Find all providers in CANON CITY

Competitor

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City CANON CITY
Zip Code 81212

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Dataset Information

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.

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