JUDITH FAY VISNACK


Address: 1335 Phay Ave Ste E, Canon City, CO 81212-2349
Phone: 7192760801

JUDITH FAY VISNACK (NPI# 1225457377) 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) 1225457377
Entity Type Individual
Full Name JUDITH FAY VISNACK
Credential LPC
Practice Address 1335 Phay Ave Ste E
Canon City
CO 81212-2349
Practice Telephone 7192760801
Practice Fax Number 7192754305
Mailing Telephone 7192760801
Mailing Fax Number 7192754305
Enumeration Date 2014-04-15
Last Update Date 2014-04-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
4116 CO Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 475954 05

Office Location

Street Address 1335 PHAY AVE STE E
City CANON CITY
State CO
Zip Code 81212-2349

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 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841763737 Adrienne Sarise Baggs Counselor 611 Greenwood Ave Unit D, Canon City, CO 81212-3326 2019-01-03
1043740103 Rebecca K. Romano Counselor 402 Valley Rd Ste I, Canon City, CO 81212-4176 2017-06-12
1427417021 Melissa Steinbach Counselor 700 Four Mile Pkwy, Canon City, CO 81212-9114 2016-02-11
1952429698 Molly Carpenter Counselor Highway 50 East & Evans Blvd, Canon City, CO 81215 2007-03-27
1003959743 Verena Johanna Burger Schmid Counselor 831 Royal Gorge Blvd, Suite #228, Canon City, CO 81212 2007-02-14
1255387197 Jody L Pendleton Counselor 2480 High St, Canon City, CO 81212-8746 2006-05-25
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
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
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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