CHRIS DE BRUIN (NPI# 1639676158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639676158 |
| Entity Type | Individual |
| Full Name | CHRIS DE BRUIN |
| Credential | LPC |
| Practice Address |
Grand Junction Metro Treatment Center 1001 Wellington Ave Grand Junction CO 81501 |
| Practice Telephone | 9702081130 |
| Practice Fax Number | 9702081132 |
| Mailing Telephone | 9702081130 |
| Mailing Fax Number | 9702081132 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |
| 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) |
3394 | CO | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
617 | CO | Behavioral Health & Social Service Providers |
| Street Address |
GRAND JUNCTION METRO TREATMENT CENTER 1001 WELLINGTON AVE |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501 |
| 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 |
| 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 |
| 1740631779 | Amos Counseling LLC | Counselor | 1150 N. 25th Street Suite B, Grand Junction, CO 81501 | 2016-06-30 |
| 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 |
| 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 |
| 1457795833 | Aaron Joseph Jimenez | Counselor | 478 E Scenic Dr, Grand Junction, CO 81507-1588 | 2013-04-29 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
Please comment or provide details below to improve the information on CHRIS DE BRUIN.
| 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.