OASIS FOR CHANGE, LLC (NPI# 1124659206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124659206 |
Entity Type | Organization |
Organization Name | OASIS FOR CHANGE, LLC |
Practice Address |
439 Stoney Brook Rd Fort Collins CO 80525-8705 |
Practice Telephone | 9705419534 |
Mailing Telephone | 8082826301 |
Enumeration Date | 2020-01-28 |
Last Update Date | 2020-01-28 |
Authorized Official Name | MARY PRESTON (CEO) |
Authorized Official Telephone | 9705419534 |
Authorized Official Credential | LMFT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Oasis For Change, LLC | 439 Stoney Brook Rd, Fort Collins, CO 80525 |
Street Address |
439 STONEY BROOK RD |
City | FORT COLLINS |
State | CO |
Zip Code | 80525-8705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
Find all providers in zip 80525 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205466497 | Hummingbird Psychiatry | Clinic/Center | 204 Walnut St Ste F, Fort Collins, CO 80524-4441 | 2020-01-16 |
1912557562 | The Natural Path, Ltd. | Clinic/Center | 2212 S College Ave, Fort Collins, CO 80525-1419 | 2019-09-16 |
1093364168 | Pelletier Counseling LLC | Clinic/Center | 109 Coronado Ct Unit 7, Fort Collins, CO 80525-4929 | 2019-09-10 |
1639667652 | Evolve Counseling Services LLC | Clinic/Center | 1136 E. Stuart, Bldg. 4 Ste. 101, Fort Collins, CO 80525 | 2018-04-25 |
1437517752 | Specialized Alternatives for Families and Youth of Colorado, Inc. | Clinic/Center | 1600 Specht Point Rd Ste 105, Fort Collins, CO 80525-4311 | 2016-02-01 |
1093013526 | Neurotherapy Center of Northern Colorado, LLC | Clinic/Center | 503 Remington St Ste 106, Fort Collins, CO 80524-3089 | 2011-03-08 |
1225640543 | The Kindful Life, LLC | Clinic/Center | 19 Old Town Sq Ste 25, Fort Collins, CO 80524-2471 | 2020-08-18 |
1891325619 | Intrepid Therapeutic Services LLC | Clinic/Center | 300 E Horsetooth Rd Ste 200, Fort Collins, CO 80525-3154 | 2020-01-21 |
1164929550 | Specialized Alternatives for Families and Youth of Colorado, Inc. | Clinic/Center | 1600 Specht Point Rd Ste 105, Fort Collins, CO 80525-4311 | 2018-04-11 |
1124549084 | Integrated Wellness Solutions Inc | Clinic/Center | 808 Mathews St, Fort Collins, CO 80524-3315 | 2017-06-30 |
Find all providers in FORT COLLINS |
City | FORT COLLINS |
Zip Code | 80525 |
Please comment or provide details below to improve the information on OASIS FOR CHANGE, LLC.
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.