MR. MICHAEL WARREN BUFFUM (NPI# 1699031922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699031922 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL WARREN BUFFUM |
| Credential | CAC |
| Practice Address |
777 Bannock St Unit 9 Denver CO 80204-4507 |
| Practice Telephone | 3034365708 |
| Practice Fax Number | 3034365157 |
| Mailing Telephone | 3034365708 |
| Mailing Fax Number | 3034365157 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1599 | CO | Behavioral Health & Social Service Providers |
| Street Address |
777 BANNOCK ST UNIT 9 |
| City | DENVER |
| State | CO |
| Zip Code | 80204-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750532206 | Denver Health Authority | Rehabilitation, Substance Use Disorder Unit | 777 Bannock St Unit 9, 777 Bannock St. Unit-9, Denver, CO 80204-4507 | 2008-10-02 |
| 1144587163 | Charlene Marie Raby | Counselor | 777 Bannock St Unit 9, Denver, CO 80204-4507 | 2012-04-16 |
| 1609133768 | Michael Lee Goodman | Counselor | 777 Bannock St Unit 9, Denver, CO 80204-4507 | 2012-04-13 |
| 1437415742 | Paula Kay Woodstrom | Counselor | 777 Bannock St Unit 9, Denver, CO 80204-4507 | 2012-04-11 |
| 1336405638 | Frank Shane Hernandez | Counselor | 777 Bannock St Unit 9, Denver, CO 80204-4507 | 2012-04-11 |
| 1346507696 | Adam B Cabrera | Counselor | 777 Bannock St Unit 9, Denver, CO 80204-4507 | 2012-04-11 |
| 1285945394 | Denver Health and Hospitals Authority | Rehabilitation, Substance Use Disorder Unit | 777 Bannock St Unit 9, Denver, CO 80204-4507 | 2010-06-24 |
| 1720399835 | Denver Health Authority | Rehabilitation, Substance Use Disorder Unit | 777 Bannock St Unit 9, Denver, CO 80204-4507 | 2010-06-24 |
| 1750613915 | Outpatient Behavioral Health Services | Rehabilitation, Substance Use Disorder Unit | 777 Bannock St Unit 9, Denver, CO 80204-4507 | 2010-02-12 |
| 1427291319 | Hope Connie Carranco | Counselor | 777 Bannock St Unit 9, Denver, CO 80204-4507 | 2009-04-08 |
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|---|---|---|---|---|
| 1205483716 | Pam Specialty Hospital of Denver LLC | Long Term Care Hospital | 1690 N Meade St, Denver, CO 80204 | 2019-08-20 |
| 1912468125 | Rachel Vanderwel | Student in an Organized Health Care Education/Training Program | 777 Bancock Street, Mc 0108, Denver, CO 80204 | 2019-03-29 |
| 1831673391 | Alexandra Wilcox | Counselor | 1175 Osage St, Suite 205, Denver, CO 80204 | 2018-09-20 |
| 1912480716 | Arieye, Inc | Ophthalmology | 3120 W 19th Ave, Unit 3, Denver, CO 80204 | 2018-09-08 |
| 1144701053 | Kristina Ann Petrosino | Dental Hygienist | 601 Broadway St., Denver, CO 80204 | 2018-08-28 |
| 1811474075 | Lindsey Spraker | Counselor | 1175 Osage Street, Suite 205, Denver, CO 80204 | 2018-07-20 |
| 1427541887 | Healthy Life Care LLC | Home Health | 500 Newton St, Denver, CO 80204 | 2018-06-11 |
| 1932601655 | Emily Gispert Weaver | Student in an Organized Health Care Education/Training Program | 301 W. 6th Ave., Denver, CO 80204 | 2018-03-08 |
| 1144745928 | Melisssa Wells | Licensed Practical Nurse | 1801 W. 13th Ave, Denver, CO 80204 | 2017-08-14 |
| 1689112948 | Tyler Stephens | Student in an Organized Health Care Education/Training Program | 2233 Champa St., Denver, CO 80204 | 2017-02-07 |
| Find all providers in zip 80204 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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|---|---|---|---|---|
| 1346849841 | Polaris Partners Counseling and Consulting LLC | Counselor | 155 S Madison St Ste 306, Denver, CO 80209-3014 | 2020-10-26 |
| 1013514272 | Rhianna Lauren Dow | Counselor | 9015 E 47th Ave Unit 102, Denver, CO 80238-4213 | 2020-10-01 |
| 1184232050 | Harrison Parker Crown | Counselor | 2063 Cherry St, Denver, CO 80207-3746 | 2020-07-16 |
| 1366074940 | James Malachi Garner | Counselor | 3800 S Julian St Apt A6, Denver, CO 80236-6141 | 2020-02-11 |
| 1811527690 | Options Medical Group | Counselor | 1800 N Emerson St Ste 240, Denver, CO 80218-1067 | 2020-01-22 |
| 1316581408 | Laura O Wesson | Counselor | 7472 Waterside Loop Road, Denver, NC 28037 | 2019-10-31 |
| 1396388591 | Stephanie Marie Mccoy | Counselor | 3315 N Gilpin St, Denver, CO 80205-4015 | 2019-10-21 |
| 1326697590 | Agnieszka Baklazec Pllc | Counselor | 1805 S Bellaire St Ste 355, Denver, CO 80222-4395 | 2019-09-10 |
| 1629626031 | Paige Swanson | Counselor | 1266 N Lafayette St Apt 6, Denver, CO 80218-2323 | 2019-08-28 |
| 1154976637 | Along Your Journey, LLC | Counselor | 1928 E 18th Ave # 80206, Denver, CO 80206-1108 | 2019-08-01 |
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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.