JESSICA MICHELLE MALSAM (NPI# 1417460916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417460916 |
| Entity Type | Individual |
| Full Name | JESSICA MICHELLE MALSAM |
| Practice Address |
112 Iowa Ave Ste 4 Colorado Springs CO 80909-5947 |
| Practice Telephone | 7193587338 |
| Mailing Telephone | 7193587338 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0015551 | GA | Behavioral Health & Social Service Providers |
| Street Address |
112 IOWA AVE STE 4 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-5947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033404850 | Elizabeth Dawn Martin | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2011-06-09 |
| 1447813324 | Donnie Fennimore | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2019-04-17 |
| 1871156869 | Emily Thorne | Social Worker | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2019-04-16 |
| 1962975813 | Michael Elden Hillstrom | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2019-01-03 |
| 1912478272 | Jannette Gonzalez | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2018-12-16 |
| 1801365887 | Brittany Danielle Mccarthy | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2018-11-19 |
| 1093218216 | Jessica Lynn Blount | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2018-03-14 |
| 1568975076 | Jonathan L Fagerholm | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2017-11-07 |
| 1528410875 | Leah Harris | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909 | 2016-07-11 |
| 1689060451 | E. Dawn Martin Caciii LLC | Clinic/Center | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811904 | Cassondra Tina Marie Chagnon | Counselor | 6315 Council Pt Apt 204, Colorado Springs, CO 80923-5136 | 2020-11-05 |
| 1437759073 | Haley Marie Rosario | Counselor | 6535 Sam Houston Loop Apt D, Colorado Springs, CO 80902-4723 | 2020-10-30 |
| 1043819204 | Whitney Moore | Counselor | 5360 N Academy Blvd Ste 100, Colorado Springs, CO 80918-4006 | 2020-10-20 |
| 1013516392 | Step Forward Counseling Services | Counselor | 4145 Sudbury Rd, Colorado Springs, CO 80908-1336 | 2020-10-19 |
| 1306444393 | Anthonie Arend Van Zoeren | Counselor | 1257 Lake Plaza Dr Ste 200, Colorado Springs, CO 80906-3561 | 2020-10-13 |
| 1093321804 | Michelle Vela | Counselor | 8444 Grand Peak Summit Vw, Colorado Springs, CO 80920-7158 | 2020-09-17 |
| 1588279699 | Play 4 Healing Pllc | Counselor | 13550 Northgate Estates Drive, Colorado Springs, CO 80921 | 2020-09-15 |
| 1811501620 | Cheyenne Mountain Therapy, LLC | Counselor | 1767 S 8th St Ste 120, Colorado Springs, CO 80905-1972 | 2020-08-31 |
| 1437762838 | Tanya Davie | Counselor | 3110 Hudson St, Colorado Springs, CO 80910-2943 | 2020-08-25 |
| 1780296657 | Yhatisse Michelle Reynolds- Jones | Counselor | 6942 Bitterroot Dr, Colorado Springs, CO 80923-7328 | 2020-08-20 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
Please comment or provide details below to improve the information on JESSICA MICHELLE MALSAM.
| 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.