LA LUNA CENTER, LLC (NPI# 1215054218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215054218 |
| Entity Type | Organization |
| Organization Name | LA LUNA CENTER, LLC |
| Practice Address |
3002 Bluff St Suite 200 Boulder CO 80301-2162 |
| Practice Telephone | 7204700010 |
| Practice Fax Number | 3032007098 |
| Mailing Telephone | 7204700010 |
| Mailing Fax Number | 3032007098 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM CRISCO (BUSINESS MANAGER) |
| Authorized Official Telephone | 7204700010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | LA LUNA CENTER, LLC | 3002 Bluff St, Ste 200, Boulder, CO 80301 |
| Street Address |
3002 BLUFF ST SUITE 200 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-2162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679690689 | Malia Elyse Sperry | Counselor | 3002 Bluff St, Suite 200, Boulder, CO 80301-2162 | 2007-03-23 |
| 1245849181 | Amber Ann Riser | Dietitian, Registered | 3002 Bluff St, Boulder, CO 80301-2104 | 2020-07-27 |
| 1285111740 | Rachelpenina Whitmore-bard | Counselor | 3002 Bluff St, Boulder, CO 80301-2104 | 2018-07-26 |
| 1659631646 | Rebecca Luttrell | Counselor | 3002 Bluff St, Suite 200, Boulder, CO 80301-2104 | 2012-05-23 |
| 1760742209 | Stephanie Pollock | Counselor | 3002 Bluff St, Suite 200, Boulder, CO 80301-2104 | 2012-05-17 |
| 1659653210 | Sarah Hewes | Social Worker | 3002 Bluff St, Suite 200, Boulder, CO 80301-2104 | 2011-09-09 |
| 1043599921 | Amy Winkelman | Counselor | 3002 Bluff St, Ste 200, Boulder, CO 80301-2104 | 2011-08-10 |
| 1174813661 | Michelle Fields | Counselor | 3002 Bluff St, Ste 200, Boulder, CO 80301-2104 | 2011-04-18 |
| 1124318621 | Jennifer Sleek | Counselor | 3002 Bluff St, Ste 200, Boulder, CO 80301-2104 | 2011-04-18 |
| 1861665804 | Marla Sue Guzzo | Counselor | 3002 Bluff St, Suite 200, Boulder, CO 80301-2104 | 2008-04-10 |
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| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
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| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932481504 | Mary Hartnett, Ph.d., P.C. | Psychologist | 100 Arapahoe Ave., Suite 7, Boulder, CO 80302 | 2011-09-09 |
| 1528254430 | Ian David Pasikov | Psychologist | 954 North St, Suite 301, Boulder, CO 80304-3307 | 2007-09-25 |
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| 1821656497 | Jill Hersh Psyd, LLC | Psychologist | 2727 Bryant St, Denver, CO 80211-4130 | 2019-05-30 |
| 1346755535 | Carrie Nelson | Psychologist | 445 W Berry Ave, Littleton, CO 80120-1601 | 2017-12-10 |
| 1831627686 | Christine Marie Wilhoite | Psychologist | 9200 W Cross Dr Ste 203, Littleton, CO 80123-2225 | 2017-05-24 |
| 1346791068 | Cynthia Marie Lackner | Psychologist | 44 Cook St, Suite 100, Denver, CO 80206-5822 | 2016-10-18 |
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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.