RENAE MALLETT (NPI# 1174959506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174959506 |
| Entity Type | Individual |
| Full Name | RENAE MALLETT |
| Other Name | RENAE THACKER |
| Credential | MA, LPC |
| Practice Address |
2864 S Circle Dr Ste 600 Colorado Springs CO 80906-4114 |
| Mailing Address |
220 Ruskin Dr Colorado Springs CO 80910-2522 |
| Practice Telephone | 7195726100 |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2017-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
2864 S CIRCLE DR STE 600 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902821952 | Steven Paul Rauch | Social Worker | 2864 S Circle Dr, Suite 500, Colorado Springs, CO 80906-4114 | 2006-07-12 |
| 1417443003 | Set of Colorado Springs | Dentist | 2864 S Circle Dr, Ste 450, Colorado Springs, CO 80906 | 2018-07-06 |
| 1548709751 | Amanda Smith | Counselor | 2864 S Circle Dr, Colorado Springs, CO 80906-4114 | 2017-02-21 |
| 1811433402 | Kari Castain | Counselor | 2864 S Circle Dr, #600, Colorado Springs, CO 80906-4114 | 2017-01-06 |
| 1184175648 | Julius Smith | Counselor | 2864 S Circle Dr, 11th Floor, Colorado Springs, CO 80906-4114 | 2016-10-19 |
| 1407211824 | Peak Vista Community Health Centers | Physician Assistant | 2864 S Circle Dr, Suite 450, Colorado Springs, CO 80906 | 2015-12-30 |
| 1013372788 | Aspenpointe, Inc | Clinic/Center | 2864 S Circle Dr, Colorado Springs, CO 80906-4114 | 2015-12-23 |
| 1598148504 | Samantha Miler | Marriage & Family Therapist | 2864 S Circle Dr, Colorado Springs, CO 80906-4114 | 2015-07-08 |
| 1174921522 | Catholic Health Initiatives Colorado | Clinic/Center | 2864 S Circle Dr, Suite 450, Colorado Springs, CO 80906-4114 | 2014-12-17 |
| 1043642374 | Stephanie Olsen | Dental Hygienist | 2864 S Circle Dr, Ste 450, Colorado Springs, CO 80906 | 2013-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291516 | Erin Michelle Lair | Counselor | 120 Kilgore St, Colorado Springs, CO 80911-2231 | 2020-10-06 |
| 1326655010 | Madeline Tormoen | Counselor | 2546 Indian Hills Grv, Colorado Springs, CO 80907-5977 | 2020-09-26 |
| 1144832890 | Theresa Hernandez | Counselor | 7561 Sun Prairie Dr, Colorado Springs, CO 80925-9567 | 2020-08-22 |
| 1396356200 | Croswaite Counseling, Pllc | Counselor | 1768 Silver Meadow Cir, Colorado Springs, CO 80951-9762 | 2020-08-13 |
| 1952911653 | Aurora Umana-arko | Counselor | 5475 Mark Dabling Blvd Ste 100, Colorado Springs, CO 80918-3847 | 2020-08-06 |
| 1750990925 | Richard James Locke II | Counselor | 6238 San Mateo Dr, Colorado Springs, CO 80911-4007 | 2020-07-23 |
| 1578171914 | Susan Leslie Quinn | Counselor | 6562 Lange Dr, Colorado Springs, CO 80918-1631 | 2020-07-22 |
| 1679181549 | Kristen Simons | Counselor | 919 Ellston St, Colorado Springs, CO 80907-4119 | 2020-07-16 |
| 1295363992 | Katherine Daugaard | Counselor | 2865 Blake Dr, Colorado Springs, CO 80916-3346 | 2020-03-29 |
| 1013543677 | Shirley Noelle Turner Vancil | Counselor | 655 Southpointe Ct Ste 202, Colorado Springs, CO 80906-3859 | 2020-03-16 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
Please comment or provide details below to improve the information on RENAE MALLETT.
| 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.