SUCAP (NPI# 1033352240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033352240 |
Entity Type | Organization |
Organization Name | SUCAP |
Other Organization Name | PEACEFUL SPIRIT TREATMENT CENTER |
Practice Address |
296 Mouache Rd. Ignacio CO 81137-0429 |
Practice Telephone | 9705634555 |
Practice Fax Number | 9705634618 |
Mailing Telephone | 9705634555 |
Mailing Fax Number | 9705634618 |
Enumeration Date | 2009-04-17 |
Last Update Date | 2009-04-17 |
Authorized Official Name | ELAINE WASSERBACH (DIRECTOR) |
Authorized Official Telephone | 9705634517 |
Authorized Official Credential | M.A. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 324500000X | Substance Abuse Rehabilitation Facility | 116600 | CO | Residential Treatment Facilities |
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1445 | CO | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Peaceful Spirit Treatment Center | Other Name - Individual/Organization |
Street Address |
296 MOUACHE RD. |
City | IGNACIO |
State | CO |
Zip Code | 81137-0429 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568605012 | Michael Anthony Joseph | Counselor | 296 Mouache Rd., Ignacio, CO 81137 | 2009-04-14 |
1639312713 | Linda Ann Mahlum | Counselor | 296 Mouache Rd., Ignacio, CO 81137-0296 | 2009-04-20 |
1477796928 | Robin Jane Brodsky | Counselor | 296 Mouache Rd., Ignacio, CO 81137-0296 | 2009-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831754332 | Jennifer Antoinette Goodtracks | Counselor | 69 Capote Dr, Ignacio, CO 81137 | 2019-05-09 |
1508294281 | Garcia Chiropractic Wellness Center, LLC | Chiropractor | 630 Goddard Avenue, Ignacio, CO 81137 | 2013-10-16 |
1033486113 | Karen Wendy Rice | Dietitian, Registered | 123 Wenumuche Ave, Ignacio, CO 81137 | 2011-11-17 |
1962706630 | Mary Alyce Cross | Massage Therapist | 14324 Us Highway 172n, Ignacio, CO 81137 | 2011-01-10 |
1255644753 | Jessaca Ann Cassady | Counselor | 115 Ute Dr, Ignacio, CO 81137 | 2010-07-26 |
1528380599 | Tanya Deen Campbell | Counselor | 285 Lakin St., Ignacio, CO 81137 | 2010-02-18 |
1720219215 | Cecilia Ann Tucker | Counselor | 296 Mouache Road, Ignacio, CO 81137 | 2009-07-31 |
1750511465 | Carol Lynn Ford | Counselor | 296 Moache Circle, Ignacio, CO 81137 | 2009-07-16 |
1164656211 | Peaceful Spirit | Substance Abuse Rehabilitation Facility | 296 Mouache, Ignacio, CO 81137 | 2009-05-05 |
1881828937 | Mariellen Walz | Social Worker | 296 Mouache Street, Ignacio, CO 81137 | 2009-05-05 |
Find all providers in zip 81137 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255644753 | Jessaca Ann Cassady | Counselor | 115 Ute Dr, Ignacio, CO 81137 | 2010-07-26 |
1720219215 | Cecilia Ann Tucker | Counselor | 296 Mouache Road, Ignacio, CO 81137 | 2009-07-31 |
1750511465 | Carol Lynn Ford | Counselor | 296 Moache Circle, Ignacio, CO 81137 | 2009-07-16 |
1982848065 | Hilbert Ray Vigil | Counselor | 285 Lakin, Ignacio, CO 81137 | 2009-04-21 |
1275776734 | June Barrie Santon | Counselor | 296 Mouache Dr, Ignacio, CO 81137 | 2009-04-14 |
1568605012 | Michael Anthony Joseph | Counselor | 296 Mouache Rd., Ignacio, CO 81137 | 2009-04-14 |
1801026331 | Galina Wood | Counselor | 296 Mouache Dr, Ignacio, CO 81137 | 2009-07-17 |
1639312713 | Linda Ann Mahlum | Counselor | 296 Mouache Rd., Ignacio, CO 81137-0296 | 2009-04-20 |
1477796928 | Robin Jane Brodsky | Counselor | 296 Mouache Rd., Ignacio, CO 81137-0296 | 2009-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306446505 | Rae Ann Bartels Lpc Lac LLC | Counselor | 101 E 3rd St Ste 209, Rifle, CO 81650-2317 | 2020-10-27 |
1346849841 | Polaris Partners Counseling and Consulting LLC | Counselor | 155 S Madison St Ste 306, Denver, CO 80209-3014 | 2020-10-26 |
1669071213 | Crystal Reanee Kisselburgh | Counselor | 2956 North Ave Ste 1, Grand Junction, CO 81504-3919 | 2020-10-23 |
1013514272 | Rhianna Lauren Dow | Counselor | 9015 E 47th Ave Unit 102, Denver, CO 80238-4213 | 2020-10-01 |
1710594965 | Maggie Wehrmann | Counselor | 600 W County Line Rd Apt 30-101, Highlands Ranch, CO 80129-6510 | 2020-09-30 |
1497361646 | Jessica A Olguin | Counselor | 6901 S Pierce St Ste 337, Littleton, CO 80128-7202 | 2020-09-22 |
1083220099 | Samantha Pino | Counselor | 41 Montebello Rd Ste 124, Pueblo, CO 81001-1366 | 2020-09-16 |
1740894781 | Arapahoe Mental Health Center, Inc | Counselor | 116 Inverness Dr E Ste 105, Englewood, CO 80112-5125 | 2020-09-08 |
1982218343 | Foundations 4 Life, LLC | Counselor | 2956 North Ave Ste 6, Grand Junction, CO 81504-3919 | 2020-09-03 |
1376156208 | Compass Counseling & Consultation Pllc | Counselor | 13353 Wildflower St, Broomfield, CO 80020-5266 | 2020-08-29 |
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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.