DR. JON BLAUW (NPI# 1295224020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295224020 |
| Entity Type | Individual |
| Full Name | DR. JON BLAUW |
| Credential | PHDNE |
| Practice Address |
500 Kimbark St Ste 200 Longmont CO 80501-5585 |
| Practice Telephone | 3036511515 |
| Practice Fax Number | 7206520408 |
| Mailing Telephone | 3036511515 |
| Mailing Fax Number | 7206520408 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0004751 | CO | Behavioral Health & Social Service Providers |
| Street Address |
500 KIMBARK ST STE 200 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-5585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487871497 | Lesley Moran | Counselor | 500 Kimbark St Ste 200, Longmont, CO 80501-5585 | 2007-04-19 |
| 1962016311 | Sarah Stormont | Social Worker | 500 Kimbark St Ste 200, Longmont, CO 80501-5585 | 2020-09-03 |
| 1023627361 | Alison Batts Jennings | Social Worker | 500 Kimbark St Ste 200, Longmont, CO 80501-5585 | 2020-07-22 |
| 1871150797 | Chelsey Jeanne Vest | Social Worker | 500 Kimbark St Ste 200, Longmont, CO 80501-5585 | 2019-05-27 |
| 1053800532 | Andrea Dugan | Counselor | 500 Kimbark St Ste 200, Longmont, CO 80501-5585 | 2018-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929002 | Heart Centered Counseling Inc | Psychologist | 1630 Dry Creek Dr, Longmont, CO 80503-6405 | 2020-07-06 |
| 1750880696 | Shelley Tanenbaum | Psychologist | 3575 Larkspur Dr, Longmont, CO 80503-7533 | 2018-02-06 |
| 1205091659 | Pamela J Leonhardt | Psychologist | 4076 Driver Ct, Longmont, CO 80503-8314 | 2008-07-25 |
| 1518166230 | Evana T Hsiao-henri | Psychologist | 3549 Larkspur Dr, Longmont, CO 80503-7533 | 2007-07-12 |
| 1568672483 | Edwin W. Swenson | Psychologist | 906 Hover Ridge Cir, Longmont, CO 80501-4141 | 2007-05-22 |
| 1386799385 | Bruce D Kugler | Psychologist | 1332 Linden Street, Ste #3, Longmont, CO 80501 | 2007-01-23 |
| 1427130087 | Linda Hall-taylor | Psychologist | 2353 Provenance St, Longmont, CO 80504-3706 | 2006-10-20 |
| 1518906361 | William Michael Smith | Psychologist | 640 Gooseberry Dr Unit 908, Longmont, CO 80503-6434 | 2006-06-06 |
| 1629016886 | A & P Levine Psychotherapy, Inc. | Psychologist | 709 Kimbark St, Longmont, CO 80501 | 2006-06-02 |
| 1669428207 | Margaret P Norris | Psychologist | 2805 Hartwick Cir, Longmont, CO 80503-2340 | 2006-05-25 |
| Find all providers in LONGMONT | ||||
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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.