MR. PASCA; COLLINS (NPI# 1790220937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790220937 |
| Entity Type | Individual |
| Full Name | MR. PASCA; COLLINS |
| Credential | MSW |
| Practice Address |
3470 Baltimore Ave Pueblo CO 81008-1520 |
| Practice Telephone | 7195451181 |
| Practice Fax Number | 7195454097 |
| Mailing Telephone | 7195451181 |
| Mailing Fax Number | 7195454097 |
| Enumeration Date | 2016-12-26 |
| Last Update Date | 2016-12-26 |
| Gender Code | M |
| 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 |
3470 BALTIMORE AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699983122 | Dianne Mcnair Hayhurst-vigil | Counselor | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2007-05-18 |
| 1871100719 | Shannan Tiphareth | Counselor | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2020-09-24 |
| 1235779166 | John Mark Jackson | Counselor | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2020-01-08 |
| 1851880645 | Sabrina J Vigil | Counselor | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2018-05-07 |
| 1306232368 | Katrina Baughman | Counselor | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2015-04-07 |
| 1104242841 | Martha Atchison | Counselor | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2014-03-05 |
| 1093145369 | Shonda Hill | Counselor | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2013-11-22 |
| 1861729659 | Tara Smith | Substance Abuse Rehabilitation Facility | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2009-11-16 |
| 1770819393 | John Ryan Vialpando | Substance Abuse Rehabilitation Facility | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2009-11-02 |
| 1417281973 | Crossroads' Turning Points, Inc. | Substance Abuse Rehabilitation Facility | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2009-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220099 | Samantha Pino | Counselor | 41 Montebello Rd Ste 124, Pueblo, CO 81001-1366 | 2020-09-16 |
| 1881182830 | Manuel Roman Martinez I | Counselor | 720 N Main St Ste 240, Pueblo, CO 81003-3046 | 2018-04-25 |
| 1952820292 | Victoria Lynn Wallace | Counselor | 79 Bonnymede Rd, Apt 104, Pueblo, CO 81001-8100 | 2017-09-19 |
| 1548703937 | Bradley James Rusovick | Counselor | 56 Duke St, 200 West 'b' Street, Suite 226, Pueblo, CO 81005-1604 | 2016-12-02 |
| 1225393267 | Michael Todd Kragt | Counselor | 1515 Fortino Blvd, Suite 120, Pueblo, CO 81008-1664 | 2012-07-05 |
| 1356603229 | Tracy D Wilson | Counselor | 41 Montebello Rd Ste 104, Pueblo, CO 81001-1366 | 2012-06-15 |
| 1497011613 | Sarah Nicole Sandstrom | Counselor | 560 S Bond Dr, Pueblo, CO 81007-1697 | 2012-04-02 |
| 1093088890 | Oasis Counseling, A Pllc | Counselor | 200 W 29th St, Pueblo, CO 81008-1004 | 2012-02-10 |
| 1083918247 | Leo Paul Arguello | Counselor | 1711 East Evans Avenue, Ctp, M-irt, Pueblo, CO 81004 | 2011-01-03 |
| 1689831737 | Matthew Anthony Capranelli | Counselor | 719 W 29th St, Pueblo, CO 81008-1183 | 2008-05-16 |
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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.