CLEAN AND CLEAR MINDED CCM COUNSELING LLC PC (NPI# 1659578599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659578599 |
| Entity Type | Organization |
| Organization Name | CLEAN AND CLEAR MINDED CCM COUNSELING LLC PC |
| Practice Address |
9035 Wadsworth Pkwy Suite #2750 Westminster CO 80021-8634 |
| Mailing Address |
1827 Quail St Apt 9 Lakewood CO 80215-2735 |
| Practice Telephone | 3036388131 |
| Practice Fax Number | 7202228786 |
| Mailing Telephone | 3036388131 |
| Mailing Fax Number | 7202228786 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CRYSTAL CAMPBELL MESSER (OWNER-THERAPIST) |
| Authorized Official Telephone | 3036388131 |
| Authorized Official Credential | LCSW CAC III |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
5437 | CO | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
989983 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | SOCIAL SECURITY NUMBER | $$$$$$$$$ | 01 |
| CO | INDIVIDUAL NPI NUMBER | 1114047172 | 01 |
| Street Address |
9035 WADSWORTH PKWY SUITE #2750 |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80021-8634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841397577 | Julie Rutter | Marriage & Family Therapist | 9035 Wadsworth Pkwy, Suite 1240, Westminster, CO 80021-8634 | 2006-09-16 |
| 1467691683 | Kinsey B Ringenberg | Physician Assistant | 9035 Wadsworth Pkwy, Suite 3000, Westminster, CO 80021-8634 | 2009-02-11 |
| 1679726863 | David Arthur Strand | Psychologist | 9035 Wadsworth Pkwy, Suite 2750, Westminster, CO 80021-8634 | 2008-10-31 |
| 1730367392 | Denise Hernandez Md PC | Specialist | 9035 Wadsworth Pkwy, Ste 2600, Westminster, CO 80021-8634 | 2008-02-06 |
| 1336346212 | Vianne Bjornberg | Speech-Language Pathologist | 9035 Wadsworth Pkwy, Suite 3300, Westminster, CO 80021-8634 | 2007-07-02 |
| 1619195393 | Mark Colloton | Physician Assistant | 9035 Wadsworth Pkwy, Suite 3000, Westminster, CO 80021-8634 | 2007-04-20 |
| 1225254592 | Theresa Marian Ruscio | Social Worker | 9035 Wadsworth Pkwy, 2750, Westminster, CO 80021-8634 | 2007-04-17 |
| 1114047172 | Crystal Campbell Messer | Counselor | 9035 Wadsworth Pkwy, Suite #2750, Westminster, CO 80021-8634 | 2007-03-30 |
| 1548311871 | Michelle Willix | Social Worker | 9035 Wadsworth Pkwy, #2750, Westminster, CO 80021-8634 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941934 | Denver Restorative Dentistry Pllc | Dentist | 8181 Arista Place, Suite 140, Broomfield, CO 80021 | 2019-09-19 |
| 1205490398 | Amber Kay Kisser | Occupational Therapist | 7770 W 101st Ave, Westminster, CO 80021 | 2019-04-24 |
| 1871093138 | Samantha Ewing | Audiologist | 403 Summit Blvd., # 204, Broomfield, CO 80021 | 2018-02-13 |
| 1568978914 | Denver Recovery Center, LLC | Clinic/Center | 295 Interlocken Blvd Ste 400, Broomfield, CO 80021 | 2017-12-21 |
| 1730601477 | Elaine H Kim | Audiologist | 120 Edgeview Dr., Unit 6220, Broomfield, CO 80021 | 2017-07-14 |
| 1245605575 | Profound Fitness, LLC | Day Training, Developmentally Disabled Services | 7721 W 92nd Ave, Westminster, CO 80021 | 2015-12-11 |
| 1558785634 | Nichelle Francavilla Gurule | Chiropractor | 11336 W 104th Ave, Westminster, CO 80021 | 2014-02-10 |
| 1255770244 | Martha Ha | Dentist | 645 Flatiron Marketplace Dr Unit A, Broomfield, CO 80021 | 2013-06-23 |
| 1467737841 | Nathaniel Weidner | Pharmacist | 10350 Dover St. D28, Westminster, CO 80021 | 2011-10-17 |
| 1346475209 | Christine Marie Maren | Family Medicine | 8181 Arista Pl Unit 100, Broomfield, CO 80021 | 2009-05-21 |
| Find all providers in zip 80021 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427587062 | Carla D'agostino | Counselor | 5005 W 81st Pl Unit 102, Westminster, CO 80031-7032 | 2017-06-07 |
| 1982064531 | Thierry Nguyen | Counselor | 14172 Frances St, Westminster, CA 92683-4114 | 2016-02-24 |
| 1124488861 | Julia Bellini | Counselor | 6186 Hefley St, Westminster, CA 92683-2967 | 2016-02-23 |
| 1538533849 | John Salvador Abeyta | Counselor | 3380 W 72nd Ave Ste 101, Westminster, CO 80030-5330 | 2015-11-24 |
| 1558738054 | Jessica Nguyen-wiley | Counselor | 12200 Pecos St Ste 200, Westminster, CO 80234-3430 | 2015-09-01 |
| 1063809747 | Dylan Hartmann | Counselor | 10 Distillery Drive, Suite 200, Westminster, MD 21157-5219 | 2015-04-21 |
| 1407279052 | Brandy Bustos | Counselor | 4335 W 76th Ave, Westminster, CO 80030-4604 | 2014-01-31 |
| 1205188703 | Trisha Lynn Maki | Counselor | 8407 N. Bryant St., Westminster, CO 80031 | 2012-10-08 |
| 1245534775 | Amy Lynn Feren | Counselor | 9835 Iris St, Westminster, CO 80021-4267 | 2010-12-23 |
| 1861644213 | Harald M. Graning Jr. | Counselor | 1009 Wilda Dr, Westminster, MD 21157-8307 | 2008-10-16 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80021 |
Please comment or provide details below to improve the information on CLEAN AND CLEAR MINDED CCM COUNSELING LLC PC.
| 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.