MR. TIMOTHE ROGER KAVANAGH (NPI# 1417985383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417985383 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHE ROGER KAVANAGH |
| Credential | LPC |
| Practice Address |
747 N 4th St Montrose CO 81401-3521 |
| Practice Telephone | 9702494912 |
| Practice Fax Number | 9702491335 |
| Mailing Telephone | 9702494912 |
| Mailing Fax Number | 9702491335 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
76 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSED PROFESSIONAL COU | 76 | 01 |
| Street Address |
747 N 4TH ST |
| City | MONTROSE |
| State | CO |
| Zip Code | 81401-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183008 | Gregory Lee Reynolds Jr. | Pharmacist | 16750 South Townsend, Pharmacy, Montrose, CO 81401 | 2020-07-31 |
| 1780232215 | River Valley Family Health Centers | Pharmacy | 1010 S Rio Grande, Montrose, CO 81401 | 2019-08-28 |
| 1750938585 | Thomas J Harker | Pharmacist | 1010 Rio Grande, Montrose, CO 81401 | 2019-08-26 |
| 1548821317 | Terri Elizabeth Middleton-huntley | Registered Nurse | Center for Mental Health-crisis Walk-in Clinic, 300 N. Cascade, Montrose, CO 81401 | 2019-06-24 |
| 1427515121 | Holly L Speaks | Counselor | 225 S Nevada Ave, Montrose, CO 81401 | 2019-02-28 |
| 1922521541 | Lisa M Perez | Nurse Practitioner | 725 S 4th Street, 9702407734, CO 81401 | 2017-07-25 |
| 1104355015 | Judy Carol Fletcher | Registered Nurse | 1800 Pavillion Dr, Montrose, CO 81401 | 2017-06-06 |
| 1588106405 | Lindsay Rae Greenfield | Registered Nurse | 816 S 5th St Ste B, Montrose, CO 81401 | 2016-11-09 |
| 1679957393 | Denise Wallen | Registered Nurse | 1845 S. Townsend Ave., Montrose, CO 81401 | 2015-07-13 |
| 1649538810 | Deborah Thompson | Acupuncturist | 200 So Townsend, Ste. E, Montrose, CO 81401 | 2012-04-25 |
| Find all providers in zip 81401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203917 | Herboth Therapy Inc | Counselor | 477 County Road 100 N, Montrose, IL 62445-3019 | 2019-06-07 |
| 1427515121 | Holly L Speaks | Counselor | 225 S Nevada Ave, Montrose, CO 81401 | 2019-02-28 |
| 1598194672 | Alexis A Baca-spry | Counselor | 16659 6250 Rd, Montrose, CO 81403-7822 | 2013-11-08 |
| 1134353741 | Anna Tiffany Hill | Counselor | 715 South 1st Street, Montrose, CO 81401 | 2009-05-11 |
| 1467698878 | Angela R Cieszynski | Counselor | 810 N 5th St, Montrose, CO 81401-3206 | 2009-01-07 |
| 1275148546 | Alison Harris | Counselor | 1810 Saint Marys Dr, Montrose, CO 81401-5011 | 2020-09-13 |
| 1487277547 | Katharyn Burke | Counselor | 605 Miami Rd, Montrose, CO 81401-4108 | 2020-05-24 |
| 1104450030 | Megan Chaney | Counselor | 605 Miami Rd, Montrose, CO 81401-4108 | 2020-03-01 |
| 1376101550 | Sloane Devens | Counselor | 2130 E Main St, Montrose, CO 81401-3834 | 2019-06-03 |
| 1255899357 | Majestic Counseling, LLC | Counselor | 121 N Park Ave, Montrose, CO 81401-3768 | 2019-03-07 |
| Find all providers in MONTROSE | ||||
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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.