JESSICA KATE EDELBAUM (NPI# 1922484914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922484914 |
| Entity Type | Individual |
| Full Name | JESSICA KATE EDELBAUM |
| Credential | LMFT |
| Practice Address |
281 Sawyer Dr Suite 100 Durango CO 81303-3409 |
| Practice Telephone | 9702592162 |
| Mailing Telephone | 9702592162 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 0001157 | CO | Behavioral Health & Social Service Providers |
| Street Address |
281 SAWYER DR SUITE 100 |
| City | DURANGO |
| State | CO |
| Zip Code | 81303-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932192598 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 | 2005-08-29 |
| 1316587645 | Adeline Bryant | Registered Nurse | 281 Sawyer Dr, Durango, CO 81303-3409 | 2020-01-15 |
| 1952838799 | Rosanna Marie Phillippi | Speech-Language Pathologist | 281 Sawyer Dr, Suite # 200, Durango, CO 81303-3409 | 2017-05-11 |
| 1710431036 | Sylvia Schmechel | Social Worker | 281 Sawyer Dr, Durango, CO 81303-3409 | 2016-08-04 |
| 1477913234 | Janice Bryan | Registered Nurse | 281 Sawyer Dr, Ste 300, Durango, CO 81303-3412 | 2016-03-07 |
| 1467818617 | Teresa Jennings | Social Worker | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 | 2016-01-04 |
| 1306219258 | Olive A. Holmes | Social Worker | 281 Sawyer Dr, #100, Durango, CO 81303-3409 | 2015-10-31 |
| 1831568641 | Tim Schaldach | Technician, Health Information | 281 Sawyer Dr, Durango, CO 81303-3409 | 2015-09-22 |
| 1134506496 | Lauren Marie Smith | Psychologist | 281 Sawyer Dr, #100, Durango, CO 81303-3409 | 2015-05-06 |
| 1225427206 | Suzanne Kelley Austin | Registered Nurse | 281 Sawyer Dr, Durango, CO 81303-3409 | 2015-01-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870603 | Durango Surgery Center LLC | Clinic/Center | 1266 Escalante, Suite 101, Durango, CO 81303 | 2020-08-04 |
| 1659891489 | Sarah Raeghan Dessel | Behavioral Analyst | 2432 County Road 220, Durango, CO 81303 | 2017-06-22 |
| 1336546076 | Aerocare Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 208 Parker Ave Ste C, Durango, CO 81303 | 2014-11-24 |
| 1235549361 | Brooke Hastings Cheatham | Family Medicine | 1305 Escalente Drive, Unit 205, Durango, CO 81303 | 2014-04-29 |
| 1346596855 | Kristi Deanne Stump | Registered Nurse | 281 Sawyer Drive, Durango, CO 81303 | 2012-08-02 |
| 1356643696 | Jonathan Stein Mitchell | Social Worker | 466 S. Skylane Dr., Open Sky Wilderness Therapy, Durango, CO 81303 | 2010-11-18 |
| 1295979771 | Gregory Albert Martin | Counselor | 466 South Skylane Drive, Durango, CO 81303 | 2009-04-28 |
| 1700054772 | Southwest Alternative Medical, Inc. | Family Medicine | 523-a South Camino Del Rio, Durango, CO 81303 | 2008-02-13 |
| 1316069073 | Jeffrey Yaskin | Physical Therapist | 327 S Camino Del Rio Unit 11b, Durango, CO 81303 | 2007-04-04 |
| 1023170479 | Daniel J Mcclure | Chiropractor | 523 -a S Camino Del Rio, Durango, CO 81303 | 2006-12-14 |
| Find all providers in zip 81303 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376774075 | Pamela Anne Parsons | Marriage & Family Therapist | 466 S Skylane Dr, Durango, CO 81303-6002 | 2009-07-30 |
| 1679745749 | Lisa Kay Hays | Marriage & Family Therapist | 2223 Main Ave, Suite 107, Durango, CO 81301-4654 | 2008-03-29 |
| 1780717678 | Carolyn Mary Hobbs | Marriage & Family Therapist | 18 Oak Drive, Durango West II, Durango, CO 81301 | 2007-03-13 |
| 1760517106 | Leann Reese Shaw | Marriage & Family Therapist | 1911 Main Ave, Suite 248, Durango, CO 81301-5078 | 2007-02-23 |
| 1013059617 | Debra V Quayle | Marriage & Family Therapist | 755 E 2nd Ave, Suite 2d, Durango, CO 81301-5498 | 2007-02-12 |
| 1043590573 | Laura Agurkis | Marriage & Family Therapist | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2011-08-29 |
| 1336466812 | Virginia Lee Lashbrooke | Marriage & Family Therapist | 2243 Main Ave, Ste 4, Durango, CO 81301-4699 | 2010-04-23 |
| 1609056472 | Damon Paul Bryan | Marriage & Family Therapist | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 | 2007-11-09 |
| 1770792574 | Alba Dagny Lodowski | Marriage & Family Therapist | 281 Sawyer Dr Ste 100, Durango, CO 81303 | 2007-05-21 |
| 1376607655 | Mary Eliza Gilden | Marriage & Family Therapist | 281 Sawyer Dr Ste 100, Durango, CO 81303-3409 | 2006-12-20 |
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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.