INTEGRATION MENTAL HEALTH (NPI# 1134592256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134592256 |
| Entity Type | Organization |
| Organization Name | INTEGRATION MENTAL HEALTH |
| Practice Address |
1919 65th Ave Ste C Greeley CO 80634-7965 |
| Practice Telephone | 9705901138 |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |
| Authorized Official Name | SUSAN PONDER (OWNER) |
| Authorized Official Telephone | 9705901138 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
130627 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 15283739 | 05 | |
| CO | NPI-INDIVIDUAL | 1336496330 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Integration Mental Health, LLC | 1919 65th Avenue, Suite 3, Greeley, CO 80634 |
| Street Address |
1919 65TH AVE STE C |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-7965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285916452 | Karen Jean Thurman | Clinical Nurse Specialist | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2011-09-14 |
| 1104839794 | Daniel A. Frantz | Clinical Nurse Specialist | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730576042 | Adriana Frazier | Clinical Nurse Specialist | 700 Potomac St., Aurora, CO 80011 | 2015-04-24 |
| 1013210038 | Donna Strickland | Clinical Nurse Specialist | 7772 E 8th Pl, Denver, CO 80230-7032 | 2010-12-14 |
| 1083865679 | Maureen Doran | Clinical Nurse Specialist | 900 S Garfield St, Denver, CO 80209-5006 | 2008-10-01 |
| 1306962220 | Nicolette Gagliano | Clinical Nurse Specialist | 1231 S Parker Rd Ste 102a, Denver, CO 80231-2157 | 2007-03-22 |
| 1467590786 | Linda Grimm Willits | Clinical Nurse Specialist | 1776 S Jackson S, Suite #1009, Denver, CO 80210-3809 | 2007-02-01 |
| 1134274939 | Cameron-k Garrett | Clinical Nurse Specialist | 7010 Broadway Ste 210, Suite 210, Denver, CO 80221-2921 | 2007-01-24 |
| 1619051000 | Marianne E Webb | Clinical Nurse Specialist | 5310 Ward Rd Ste 102e, Arvada, CO 80002-1829 | 2006-10-24 |
| 1144300781 | Carolyn Lee Dacres | Clinical Nurse Specialist | 4155 E Jewell Ave Ste 225, Denver, CO 80222-4506 | 2006-10-17 |
| 1649258591 | Elinor L Bethke | Clinical Nurse Specialist | 711 Diamond Dr, Alamosa, CO 81101-2016 | 2006-01-01 |
| 1356801443 | Marianne Webb Apn Rxn | Clinical Nurse Specialist | 5310 Ward Rd Ste 102e, Arvada, CO 80002-1829 | 2019-03-23 |
| Find all providers with the same taxonomy | ||||
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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.