AMANDA M BERNHEIM (NPI# 1629599758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629599758 |
| Entity Type | Individual |
| Full Name | AMANDA M BERNHEIM |
| Credential | LAC, MSW |
| Practice Address |
1795 Jet Wing Dr Colorado Springs CO 80916 |
| Mailing Address |
1615 Marquita Ave Colorado Springs CO 80905-2047 |
| Practice Telephone | 7192846502 |
| Mailing Telephone | 7192333551 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | ACB.0008175 | CO | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACD.0001073 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 115 S Parkside Dr, Colorado Springs, CO 809103130 | 7195726302 | |
| 875 W Moreno Ave, Colorado Springs, CO 809051731 | 7192846502 |
| Street Address |
1795 JET WING DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164492955 | Melinda A Mitchell | Social Worker | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2006-01-24 |
| 1083215248 | Andrea Ximena Alban | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2020-11-04 |
| 1063010387 | Scott Barham | Marriage & Family Therapist | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2020-10-09 |
| 1487260246 | Melissa Hall | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2020-09-17 |
| 1316561202 | Theresa Lynn Moore | Registered Nurse | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2020-06-05 |
| 1275178006 | Melissa Wilburn | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2019-11-15 |
| 1528603008 | Aspenpointe, Inc. Dba Aspenpointe Health Services | Clinic/Center | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2019-11-08 |
| 1861036667 | Dawn Boardman | Social Worker | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2019-11-05 |
| 1831730688 | Dailyn Somoza Menendez | Registered Nurse | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2019-10-03 |
| 1043865280 | Lacy J Marx | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2019-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740742022 | Andrea Corrie Akins | Counselor | 2060 Jet Wing Drive, Colorado Springs, CO 80916 | 2019-04-04 |
| 1538687454 | Loma Randie Haak | Doula | 2160 Bruno Cir, Colorado Springs, CO 80916 | 2017-08-30 |
| 1013463868 | Statewide Healthcare LLC | In Home Supportive Care | 2130 S. Academy Blvd., #103, Colorado Springs, CO 80916 | 2016-08-31 |
| 1437573557 | Carla Jackson | Contractor | 3410 Cochran Dr # C, Colorado Springs, CO 80916 | 2014-02-10 |
| 1346385986 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 2322 S. Academy Blvd., Colorado Springs, CO 80916 | 2007-02-21 |
| 1457379893 | Charlene Kay Czarnecki | Nurse Practitioner | 3029 So Academy Blvd, Colorodo Springs, CO 80916 | 2006-07-17 |
| 1952337206 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 2910 S Academy Blvd, Colorado Springs, CO 80916 | 2006-06-25 |
| 1710366166 | Cassandra Bright | Dental Hygienist | 5925 Lehman Dr, Colorado Springs, CO 80916 | 2015-05-19 |
| 1083863153 | Concentra Health Services, Inc. | Clinic/Center | 2322 S. Academy Blvd., Colorado Springs, CO 80916 | 2008-09-15 |
| 1740304146 | Sheila Odette | Pharmacist | 1425 S Murray Blvd, Colorado Springs, CO 80916 | 2007-03-19 |
| Find all providers in zip 80916 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808914 | Pamela Weisman | Counselor | 125 N Parkside Dr Ste 202, Colorado Springs, CO 80909-6097 | 2020-07-13 |
| 1942837695 | Laurie Robertson | Counselor | 4564 Laramie Sky Dr, Colorado Springs, CO 80922-2231 | 2020-03-24 |
| 1316598063 | Affinity Therapy Services LLC | Counselor | 2950 Professional Pl Ste 115, Colorado Springs, CO 80904-8106 | 2019-09-24 |
| 1982269338 | Rachel Nicole Jenkins | Counselor | 1026 Maxwell St, Colorado Springs, CO 80906-5554 | 2019-05-01 |
| 1043874480 | Lauren Atencio | Counselor | 2270 La Montana Way Ste 200, Colorado Springs, CO 80918-6735 | 2019-04-30 |
| 1205319787 | Emily Ingram | Counselor | 2226 Golden Gate Grv, Colorado Springs, CO 80918-9400 | 2018-09-11 |
| 1326521246 | Jennifer Routt | Counselor | 803 N Wahsatch Ave Apt 2, Colorado Springs, CO 80903-2966 | 2018-09-07 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1003392408 | Brittany Edmondson | Counselor | 1619 Monterey Rd Apt D, Colorado Springs, CO 80910-4435 | 2018-07-18 |
| 1659867836 | Lisa Hoeffner | Counselor | 6165 Lehman Dr Ste 209, Colorado Springs, CO 80918-5406 | 2018-07-10 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80916 |
Please comment or provide details below to improve the information on AMANDA M BERNHEIM.
| 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.