TAMARA L LISCO (NPI# 1629608153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629608153 |
| Entity Type | Individual |
| Full Name | TAMARA L LISCO |
| Credential | CACIII |
| Practice Address |
515 28 3/4 Rd Grand Junction CO 81501-5016 |
| Practice Telephone | 9702412603 |
| Mailing Telephone | 9702416023 |
| Mailing Fax Number | 9706837055 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
515 28 3/4 RD |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708176 | Colorado West Regional Mental Health, Inc. | Community/Behavioral Health | 515 28 3/4 Rd, Grand Junction, CO 81501 | 2005-05-23 |
| 1215536107 | Colorado West Psychiatric Hospital, Inc. | Psychiatry & Neurology | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2020-10-21 |
| 1801416680 | Bethany Malievsky | Counselor | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2020-04-21 |
| 1336770601 | Robert Ellis Satterlee Jr. | Nurse Practitioner | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2020-01-27 |
| 1346806023 | Colorado West Regional Mental Health, Inc. | Clinic/Center | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2019-05-17 |
| 1033678982 | Cheryl Rose Marie Barker | Peer Specialist | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2019-03-19 |
| 1447719075 | Deanna Carol Killgore | Student in an Organized Health Care Education/Training Program | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2019-03-13 |
| 1427516293 | Vanessa Baker | Nurse Practitioner | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2019-03-11 |
| 1366900631 | Dusti Lynn Bennett | Counselor | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2019-03-06 |
| 1679031298 | Karen Jensen | Counselor | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2019-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071213 | Crystal Reanee Kisselburgh | Counselor | 2956 North Ave Ste 1, Grand Junction, CO 81504-3919 | 2020-10-23 |
| 1982218343 | Foundations 4 Life, LLC | Counselor | 2956 North Ave Ste 6, Grand Junction, CO 81504-3919 | 2020-09-03 |
| 1073169678 | Steven Ross Glasser | Counselor | 2456 Theresea Ln, Grand Junction, CO 81505-4804 | 2019-08-11 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1821518853 | Holly Danae Garner | Counselor | 2635 N 7th St Unit 3 North, Grand Junction, CO 81501-8209 | 2017-06-21 |
| 1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
| 1932658507 | Leslie Spring Kittel | Counselor | 1003 Main St, Ste 303, Grand Junction, CO 81501-3540 | 2016-09-23 |
| 1548611577 | Matthew Vogt | Counselor | 1105 Ute Ave, Grand Junction, CO 81501-3652 | 2016-06-30 |
| 1740631779 | Amos Counseling LLC | Counselor | 1150 N. 25th Street Suite B, Grand Junction, CO 81501 | 2016-06-30 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
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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.