PSYCHEDIN (NPI# 1124489927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124489927 |
| Entity Type | Organization |
| Organization Name | PSYCHEDIN |
| Practice Address |
2101 S Blackhawk St Suite 180 Aurora CO 80014-1492 |
| Practice Telephone | 3033801858 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |
| Authorized Official Name | KAREN ELIZABETH ANDERSON FAGAN (OWNER) |
| Authorized Official Telephone | 3033801858 |
| Authorized Official Credential | MA, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1686 | CO | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PsychedIn, LLC | 2101 South Blackhawk St., Suite 180, Aurora, CO 80014 |
| Street Address |
2101 S BLACKHAWK ST SUITE 180 |
| City | AURORA |
| State | CO |
| Zip Code | 80014-1492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831179324 | James J Masterson | Counselor | 2101 S Blackhawk St, Aurora, CO 80014-1475 | 2006-01-19 |
| 1114557634 | Joy C Ewing | Counselor | 2101 S Blackhawk St, Aurora, CO 80014-1492 | 2020-01-23 |
| 1134643257 | Tiffany Lloyd | Counselor | 2101 S Blackhawk St, Aurora, CO 80014 | 2017-07-31 |
| 1760920573 | Susan Garrett, Lcsw LLC | Social Worker | 2101 S Blackhawk St, Suite 240, Aurora, CO 80014-1492 | 2017-02-01 |
| 1629513130 | Jessica Kruckeberg | Marriage & Family Therapist | 2101 S Blackhawk St, Suite 240, Aurora, CO 80014-1492 | 2016-12-20 |
| 1780129288 | Jesicca Nicole Kruckeberg | Marriage & Family Therapist | 2101 S Blackhawk St, Suite 240, Aurora, CO 80014-1492 | 2016-12-20 |
| 1134670490 | Gabrielle May-shinagle | Counselor | 2101 S Blackhawk St, Aurora, CO 80014-1492 | 2016-10-20 |
| 1639629025 | M2 Solutions Inc | Counselor | 2101 S Blackhawk St, Suite 240, Aurora, CO 80014-1492 | 2016-10-10 |
| 1194278747 | Comprehensive Counseling Services, LLC | Social Worker | 2101 S Blackhawk St, Suite 240, Aurora, CO 80014-1492 | 2016-08-01 |
| 1962857805 | Giving Tree Counseling Services | Counselor | 2101 S Blackhawk St, Suite 240, Aurora, CO 80014-1492 | 2016-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104636 | Anastasia Canfield | Counselor | 12341 E Cornell Ave # 18, Aurora, CO 80014-3323 | 2020-11-07 |
| 1578192555 | Erin L Graves | Counselor | 13791 E Rice Pl Ste 115, Aurora, CO 80015-1079 | 2020-04-02 |
| 1538705330 | Johnathan Dunn | Counselor | 140 S. Lincoln Ave., Aurora, IL 60505 | 2019-11-27 |
| 1356985071 | Richard Yeager | Counselor | 2851 S Parker Rd Ste 1040, Aurora, CO 80014-2723 | 2019-11-06 |
| 1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
| 1477037729 | Melanie J Hart | Counselor | 23548 E Ottawa Pl, Aurora, CO 80016-4242 | 2018-09-22 |
| 1679056063 | Elisabeth Anne Kaplan | Counselor | 1329 N Lake St, Aurora, IL 60506-2409 | 2018-09-11 |
| 1679056477 | Natasha Ann Jackson | Counselor | 2899 S Xanadu Way, Aurora, CO 80014-3448 | 2018-09-08 |
| 1649771148 | Zachary N. Meers | Counselor | 4255 Westbrook Dr Ste 206, Aurora, IL 60504-8125 | 2018-02-21 |
| 1205349701 | Nicole Mahan | Counselor | 2067 Stephen St, Aurora, IL 60502-7173 | 2017-11-07 |
| Find all providers in AURORA | ||||
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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.