KELLEY DYER LCSW INC. (NPI# 1558970889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558970889 |
| Entity Type | Organization |
| Organization Name | KELLEY DYER LCSW INC. |
| Practice Address |
4793 N Splendid Cir Colorado Springs CO 80917-1681 |
| Practice Telephone | 7199245776 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | KELLEY DYER (FOUNDER) |
| Authorized Official Telephone | 7194290335 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Kelley Dyer LCSW Inc. | 1935 Montura View, Unit 103, Colorado Springs, CO 80919 |
| Street Address |
4793 N SPLENDID CIR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-1681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1972166080 | Inner Hope Therapy | Clinic/Center | 2970 N. Academy Blvd. Suite 206, Colorado Springs, CO 80917-8091 | 2019-04-16 |
| 1790141984 | Family Care Center LLC | Clinic/Center | 2860 S Circle Dr Ste 109, Colorado Springs, CO 80906-4195 | 2016-01-05 |
| 1992752133 | Cedar Springs Hospital, Inc | Clinic/Center | 2135 Southgate Rd, Colorado Springs, CO 80906-2605 | 2006-05-30 |
| 1467079053 | Convenient Colorado Counseling LLC | Clinic/Center | 5155 Laredo Ridge Dr, Colorado Springs, CO 80922-2222 | 2020-06-29 |
| 1487277471 | Hope Mountain Behavioral Health | Clinic/Center | 1802 Chapel Hills Dr Ste A, Colorado Springs, CO 80920-3736 | 2020-05-25 |
| 1639701873 | The Divine Therapy and Wellness Center | Clinic/Center | 5376 Tomah Dr Ste 210, Colorado Springs, CO 80918-6968 | 2020-02-05 |
| 1679118954 | Therapywize LLC | Clinic/Center | 5540 N Academy Blvd Ste 210, Colorado Springs, CO 80918-3696 | 2019-11-11 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
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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.