SAMANTHA CHURCH (NPI# 1306315494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306315494 |
| Entity Type | Individual |
| Full Name | SAMANTHA CHURCH |
| Practice Address |
10 Boulder Crescent St Ste 102 Colorado Springs CO 80903-3350 |
| Mailing Address |
1002 E Cimarron St Colorado Springs CO 80903-4535 |
| Practice Telephone | 7196338119 |
| Mailing Telephone | 3174099989 |
| Enumeration Date | 2018-11-18 |
| Last Update Date | 2018-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093879751 | Samantha Church | Speech-Language Pathologist | 101 Creekview St, Locust, NC 28097-8507 | 2006-12-20 |
| 1467096180 | Samantha Church | Behavior Technician | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2019-11-06 |
| Street Address |
10 BOULDER CRESCENT ST STE 102 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-3350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912325275 | Evelyn Joy Farmer | Counselor | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903 | 2014-04-03 |
| 1952931420 | Robyn Elysia Ruetz | Counselor | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903-3350 | 2020-01-23 |
| 1699315069 | Paige Marie Kolcharno | Art Therapist | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903-3350 | 2020-01-13 |
| 1730746884 | Isaiah Thomas Tatum | Counselor | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903-3350 | 2019-05-23 |
| 1396219937 | Suzanne Elizabeth Wilkinson | Counselor | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903-3350 | 2019-01-16 |
| 1194295014 | James Alvarado | Counselor | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903-3350 | 2018-12-04 |
| 1891263620 | Chris Steven Bunn | Case Manager/Care Coordinator | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903-3350 | 2018-11-09 |
| 1609369271 | Key Wellness, Inc. | Community/Behavioral Health | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903 | 2018-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558903 | Marissa Faith Swearingen | Case Manager/Care Coordinator | 5809 Brave Eagle Dr, Colorado Springs, CO 80924-2011 | 2020-05-04 |
| 1780192989 | Child Community Services | Case Manager/Care Coordinator | 2210 E La Salle St # 108, Colorado Springs, CO 80909-2303 | 2018-01-22 |
| 1437578200 | Mary Loretta Swope | Case Manager/Care Coordinator | 6208 Lenman Drive, Colorado Springs, CO 80918 | 2014-04-09 |
| 1356762439 | Michell Tomala | Case Manager/Care Coordinator | 6208 Leahman Dr, Colorado Springs, CO 80918 | 2013-12-17 |
| 1497005987 | Kristen Henry | Case Manager/Care Coordinator | 6208 Lehman Drive, Colorado Springs, CO 80918 | 2012-09-12 |
| 1164772711 | Rebecca Yount | Case Manager/Care Coordinator | 6208 Lehman Drive Suite 317, Colorado Springs, CO 80918 | 2012-09-11 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| 1881943462 | Michael Cid | Case Manager/Care Coordinator | 1675 Garden of Gods Rd, Colorado Springs, CO 80907-9444 | 2012-08-29 |
| 1518231851 | Maryellen Benson | Case Manager/Care Coordinator | 2864 S Circle Dr Ste 620, Colorado Springs, CO 80906-4119 | 2012-03-05 |
| 1891263620 | Chris Steven Bunn | Case Manager/Care Coordinator | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903-3350 | 2018-11-09 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
Please comment or provide details below to improve the information on SAMANTHA CHURCH.
| 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.