MRS. NAN NELL OTOUPAL (NPI# 1245310325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245310325 |
| Entity Type | Individual |
| Full Name | MRS. NAN NELL OTOUPAL |
| Other Name | MS. NAN NELL OTOUPAL |
| Credential | LIC CLIN SOC WORKER |
| Practice Address |
300 W Lake Ave Ste 4 Woodland Park CO 80863-5046 |
| Mailing Address |
Po Box 241 Woodland Park CO 80866-0241 |
| Practice Telephone | 7196878955 |
| Mailing Telephone | 7196878955 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0071ME | 01 |
| TX | 164304104 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 75 Loop 150 W Ste G, Bastrop, TX 786023722 | 5125817080 | 5125816540 |
| Street Address |
300 W LAKE AVE STE 4 |
| City | WOODLAND PARK |
| State | CO |
| Zip Code | 80863-5046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752439 | Otoupal Counseling, Pllc | Social Worker | 300 W Lake Ave Ste 4, Woodland Park, CO 80863-5046 | 2020-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576867 | Poudre Valley Medical Group, LLC | Orthopaedic Surgery | 333 North West Street, Woodland Park, CO 80863 | 2020-07-23 |
| 1003461476 | Alive Connections Counseling, LLC | Community/Behavioral Health | 321 West Henrietta Avenue, Office D-8, Woodland Park, CO 80863 | 2019-08-02 |
| 1720630130 | Jennifer Fuller James | Social Worker | 400 W Midland Ave Ste 100h, Woodland Park, CO 80863 | 2019-07-15 |
| 1558861815 | Thrive Primary Care At Woodland Park LLC | Nurse Practitioner | 1067 Us 24, 276, Woodland Park, CO 80863 | 2018-02-13 |
| 1841712080 | Jamie Andersen | Marriage & Family Therapist | 321 W. Henrietta Ave, Suite B, Woodland Park, CO 80863 | 2017-07-10 |
| 1720438492 | Laurie Kim Warchol | Counselor | 321 West Henrietta, Woodland Park, CO 80863 | 2016-06-14 |
| 1255788402 | Colorado Lions Camp Inc | Respite Care | 28541 Highway 67, Wooodand Park, CO 80863 | 2016-05-18 |
| 1619337193 | Ariana Papi | Specialist/Technologist, Other | 16240 W Hwy 24, Woodland Park, CO 80863 | 2016-02-26 |
| 1104281864 | Daybreak-an Adult Day Program | Respite Care | 404 North Highway 67, Woodland Park, CO 80863 | 2015-12-23 |
| 1104281906 | Kingdom Pediatric Therapy | Speech-Language Pathologist | 1067 E Us Hwy, Pmb 72, Woodland Park, CO 80863 | 2015-12-21 |
| Find all providers in zip 80863 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851942973 | Mountain View Counseling, LLC | Social Worker | 4oo W. Midland Ave., Suite 100h, Woodland Park, CO 80866-0830 | 2019-09-20 |
| 1720630130 | Jennifer Fuller James | Social Worker | 400 W Midland Ave Ste 100h, Woodland Park, CO 80863 | 2019-07-15 |
| 1477034940 | Laureen Alison Quinn | Social Worker | 402 Forest Edge Ln Apt D, Woodland Park, CO 80863-2419 | 2018-08-23 |
| 1538603394 | Lauren Anne Banuet | Social Worker | 321 W Henrietta Ave # D8, Woodland Park, CO 80863-3145 | 2016-12-13 |
| 1215398599 | Sandra Lopez | Social Worker | 18 Winding Way, Woodland Park, NJ 07424-2665 | 2016-03-14 |
| 1306160452 | Sheila Mack | Social Worker | 8 Dogwood Ct, Woodland Park, NJ 07424-3711 | 2010-03-18 |
| 1043463540 | Alicia L Showalter | Social Worker | 18401 Highway 24, Ste 119, Woodland Park, CO 80863-9034 | 2008-10-28 |
| 1639376718 | Heather M Batten | Social Worker | 3 Garret Mountain Plz Ste 200, Woodland Park, NJ 07424-3376 | 2007-07-02 |
| 1881712081 | Connie Hofmeister | Social Worker | 800 Research Dr Ste 100, Woodland Park, CO 80863-9733 | 2007-03-26 |
| 1467521617 | Sharon Smith Mccormick | Social Worker | 391 Rampart Range Rd, Woodland Park, CO 80863-2433 | 2006-11-06 |
| Find all providers in WOODLAND PARK | ||||
| City | WOODLAND PARK |
| Zip Code | 80863 |
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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.