ELIZABETH GEAN TRACEY (NPI# 1730585100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730585100 |
| Entity Type | Individual |
| Full Name | ELIZABETH GEAN TRACEY |
| Practice Address |
12751 W 56th Pl Arvada CO 80002-1327 |
| Mailing Address |
4851 Independence St Suite 200 Wheat Ridge CO 80033-6715 |
| Practice Telephone | 3034325900 |
| Mailing Telephone | 3034250300 |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CO | Behavioral Health & Social Service Providers |
| Street Address |
12751 W 56TH PL |
| City | ARVADA |
| State | CO |
| Zip Code | 80002-1327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881875656 | Karen's House | Community/Behavioral Health | 12751 W 56th Pl, Arvada, CO 80002-1327 | 2007-11-20 |
| 1689054355 | Auriel Valdez | Counselor | 12751 W 56th Pl, Arvada, CO 80002-1327 | 2015-06-08 |
| 1225429087 | Jefferson Center for Mental Health | Assisted Living Facility | 12751 W 56th Pl, Arvada, CO 80002-1327 | 2015-02-13 |
| 1760741896 | Emily Kingston | Community Based Residential Treatment Facility, Mental Illness | 12751 W 56th Pl, Arvada, CO 80002-1327 | 2012-05-09 |
| 1396054979 | Valerie Parker | Counselor | 12751 W 56th Pl, Arvada, CO 80002-1327 | 2010-09-30 |
| 1871777540 | Rachel R Fahnestock | Community Based Residential Treatment Facility, Mental Illness | 12751 W 56th Pl, Arvada, CO 80002-1327 | 2007-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578036679 | Mountain Valley Mental Health, LLC | Nurse Practitioner | 5400 Ward Rd Building V, Suite 110, Arvada, CO 80002 | 2019-01-10 |
| 1013407865 | University of Colorado Hospital Authority | Clinic/Center | 9505 Ralston Rd., Arvada, CO 80002 | 2018-05-17 |
| 1023513793 | Kent Lamountdo Jones | Behavior Technician | Aspen Business Park 5400 Building II Suite G-101, Arvada, CO 80002 | 2018-03-26 |
| 1023536638 | Jennifer Rindt | Pharmacist | 5656 Ward Way Unit A, Arvada, CO 80002 | 2017-09-03 |
| 1396273884 | Rocky Mountain Physicians Group, PC | Clinic/Center | 9250 Ralston Rd, Arvada, CO 80002 | 2017-05-26 |
| 1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
| 1003355173 | Ohana Service Agency | Foster Care Agency | 8600 Ralston Rd # L103, Arvada, CO 80002 | 2017-02-22 |
| 1053863738 | Parker Personal Care Homes, Inc. | Day Training, Developmentally Disabled Services | 6055 West 55th Place, Arvada, CO 80002 | 2016-10-28 |
| 1316397433 | Cortez Harvey | Counselor | 5275 Marshall St Ste 101, Arvada, CO 80002 | 2016-06-20 |
| 1013311216 | Peter J Dahlberg | Nurse Practitioner | 5400 Ward Rd Ste 110, Arvada, CO 80002 | 2014-10-16 |
| Find all providers in zip 80002 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631330 | William Gaub | Counselor | 7585 W. 66th Ave, Bldg C, Arvada, CO 80003 | 2020-05-20 |
| 1932722329 | Andrew P Harris | Counselor | 5255 Marshall St Ste 204, Arvada, CO 80002-3950 | 2020-05-20 |
| 1407488158 | Nicole Rae Penner | Counselor | 5652 Jellison St, Arvada, CO 80002-2145 | 2020-02-11 |
| 1780222018 | Melanie L Stachelski | Counselor | 5460 Ward Rd Ste 350, Arvada, CO 80002-1825 | 2019-12-17 |
| 1982171229 | Allison L Harvey | Counselor | 5460 Ward Rd Ste 110, Arvada, CO 80002-1828 | 2018-10-24 |
| 1538659958 | Michelle Skellenger | Counselor | 6870 W 52nd Ave Ste 103, Arvada, CO 80002-3952 | 2018-05-10 |
| 1215438486 | Rebecca Ann Gedala | Counselor | 6155 Carr St, Arvada, CO 80004-5407 | 2018-02-23 |
| 1619475803 | Shawna Henry-lange | Counselor | 7390 Dover St, Arvada, CO 80005-4258 | 2018-01-23 |
| 1649782996 | Rita D Coalson | Counselor | 11852 West 75th Circle, Arvada, CO 80005 | 2017-10-26 |
| 1275043523 | Jamie Lyn Harrison | Counselor | 8725 W 81st Pl, Arvada, CO 80005-2414 | 2017-10-01 |
| Find all providers in ARVADA | ||||
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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.