DEBRA JO LANDOLL (NPI# 1942624630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942624630 |
| Entity Type | Individual |
| Full Name | DEBRA JO LANDOLL |
| Other Name | DEBRA JO GALLEGOS |
| Credential | MA, LAC |
| Practice Address |
1120 Wellington Ave Grand Junction CO 81501-6129 |
| Mailing Address |
Po Box 10700 Grand Junction CO 81502-5517 |
| Practice Telephone | 9702416011 |
| Practice Fax Number | 9702414650 |
| Mailing Telephone | 9702542642 |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2019-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACD.0000613 | Behavioral Health & Social Service Providers | |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC.0013950 | CO | Behavioral Health & Social Service Providers |
| Street Address |
1120 WELLINGTON AVE |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-6129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164426102 | Tephi Ann Mannlein | Physician Assistant | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2005-06-08 |
| 1346800471 | Physician Management Services of Colorado II, LLC | Family Medicine | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2019-06-20 |
| 1861990699 | Primary Care Partners, Inc. | Family Medicine | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2018-01-26 |
| 1083168678 | Deborah A Wheeler Md LLC | Anesthesiology | 1120 Wellington Ave, Suite 206, Grand Junction, CO 81501-6129 | 2016-08-11 |
| 1669821682 | Desiree Rachele Gholson | Social Worker | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2016-06-09 |
| 1467809517 | Anna M Jones | Family Medicine | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2016-05-18 |
| 1881040707 | David Stuart | Family Medicine | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2016-05-10 |
| 1669818498 | Joshua M Hulst | Family Medicine | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2013-05-20 |
| 1699038315 | Anne Chamberlin Siler | Family Medicine | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2012-06-18 |
| 1366704181 | Lisa Roberts | Family Medicine | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2012-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265074348 | Melinda Leeann Baker | Counselor | 710 Ivy Pl, Grand Junction, CO 81506-8341 | 2019-10-10 |
| 1104471515 | Jacob Tyler Baker | Counselor | 408 Stoneridge Ct, Grand Junction, CO 81507-1655 | 2019-08-03 |
| 1093369084 | Identity Insights LLC | Counselor | 2470 Patterson Rd Ste 6, Grand Junction, CO 81505-1028 | 2019-07-28 |
| 1992365803 | Kathleen Zachary | Counselor | 707 Roundup Dr, Grand Junction, CO 81507-8798 | 2019-06-13 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1831605674 | Connie Mercer | Counselor | 2252 Pine Terrace Ct, Grand Junction, CO 81507-1258 | 2017-12-15 |
| 1245742121 | Elisabeth Lesperance Kautsky | Counselor | 2095 Two Wood Dr, Grand Junction, CO 81507-7704 | 2017-10-31 |
| 1467990655 | Raymond Cardenas | Counselor | 201 Vista Hills Dr, Grand Junction, CO 81503-3292 | 2017-02-07 |
| 1598208324 | Chelsea Ann Yamaguchi | Counselor | 2384 Ridge Circle Dr, Unit 10, Grand Junction, CO 81507-4609 | 2016-11-28 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
Please comment or provide details below to improve the information on DEBRA JO LANDOLL.
| 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.