TAMMY GUSTAFSON (NPI# 1861791303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861791303 |
| Entity Type | Individual |
| Full Name | TAMMY GUSTAFSON |
| Credential | LPC |
| Practice Address |
695 Jerry St Ste 205 Castle Rock CO 80104-1708 |
| Practice Telephone | 7206602230 |
| Practice Fax Number | 7204656180 |
| Mailing Telephone | 7206602230 |
| Mailing Fax Number | 7204656180 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2017-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC 5999 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609133123 | Tammy Gustafson | Licensed Practical Nurse | 10356 Ridge Rd, Danbury, WI 54830-9160 | 2012-04-20 |
| 1912174616 | Tammy Lynn Gustafson | Occupational Therapist | 706 Bratley Drive, Washburn, WI 54891 | 2008-05-12 |
| Street Address |
695 JERRY ST STE 205 |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80104-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326456203 | Livefree Counseling Pllc | Counselor | 695 Jerry St Ste 205, Castle Rock, CO 80104-1708 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737152 | F2dis, Limited Liability Company | Skilled Nursing Facility | 1055 S. Perry Street, Castle Rock, CO 80104 | 2020-04-01 |
| 1518497262 | Courtney Renee Mcmurtry | Dental Hygienist | 610 E. Fifth St., Suite 300, Castle Rock, CO 80104 | 2017-06-15 |
| 1235598350 | Village Physical Therapy, PC | Specialist | 1184 South Perry Street, Suite 230, Castle Rock, CO 80104 | 2016-02-17 |
| 1730513318 | Erin Evers | Physical Therapist | 4348 Woodlands Boulevard, Suite 100, Castle Rock, Co, CO 80104 | 2013-08-30 |
| 1730424185 | Ange' Anesthesia | Nurse Anesthetist, Certified Registered | 157 Crosshaven Pl, Castle Rock, CO 80104 | 2012-12-11 |
| 1902155013 | Rachel Everett | Marriage & Family Therapist | 831 S Perry Street, Suite 100, Castle Rock, CO 80104 | 2012-09-05 |
| 1922366889 | Health Connections of Castle Rock, Inc. | Massage Therapist | 323 Metzler Dr #105, Castle Rock, CO 80104 | 2012-04-30 |
| 1326313255 | Kate Ivey | Counselor | 4889 Thorndike Ave, Castle Rock, CO 80104 | 2012-03-10 |
| 1902106578 | Gordon Talmadge Blair IIi | Physical Therapist | 814 S. Perry St., Suit 101, Castle Rock, CO 80104 | 2010-10-28 |
| 1285943936 | Denise L Lucia | Psychologist | 509 Wilcox Street, Suite 101, Castle Rock, CO 80104 | 2010-09-29 |
| Find all providers in zip 80104 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538962 | Living Harmony Counseling | Counselor | 5803 Palmer Dr, Castle Rock, CO 80104-8737 | 2019-09-27 |
| 1720540115 | Michelle Elizabeth Warntjes | Counselor | 371 E Allen St Apt 34, Castle Rock, CO 80108-7658 | 2019-04-03 |
| 1831660497 | Dana H Mccray | Counselor | 202 6th St Ste 301d, Castle Rock, CO 80104-1731 | 2018-12-07 |
| 1679017636 | John Zivojinovic | Counselor | 734 Wilcox St Ste 202, Castle Rock, CO 80104-1709 | 2016-12-10 |
| 1942460472 | Renee Michelle Cawley | Counselor | 121 S Wilcox St Ste E, Castle Rock, CO 80104-1910 | 2008-06-09 |
| 1538327440 | John Emmons | Counselor | 751 Maleta Ln, Suite 201, Castle Rock, CO 80108-7606 | 2008-05-28 |
| 1275742959 | Tamara Gaye Suttle | Counselor | 6222 Lancaster Ave, Castle Rock, CO 80104-3279 | 2007-05-21 |
| 1174674287 | Sheila W Speight | Counselor | 823 S Perry St Ste 100, Castle Rock, CO 80104-1925 | 2007-01-15 |
| 1528162708 | Skye C Embrey | Counselor | 831 S Perry St, Suite 100, Castle Rock, CO 80104-1919 | 2006-09-11 |
| 1144832965 | Randy Reed | Counselor | 734 Wilcox St Ste 202, Castle Rock, CO 80104-1709 | 2020-08-21 |
| Find all providers in CASTLE ROCK | ||||
| City | CASTLE ROCK |
| Zip Code | 80104 |
Please comment or provide details below to improve the information on TAMMY GUSTAFSON.
| 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.