MARISOL CARRASCO (NPI# 1326499898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326499898 |
| Entity Type | Individual |
| Full Name | MARISOL CARRASCO |
| Practice Address |
12055 W 2nd Pl Lakewood CO 80228-1506 |
| Mailing Address |
4851 Independence St Suite 200 Wheat Ridge CO 80033-6715 |
| Practice Telephone | 3034250300 |
| Mailing Telephone | 3034250300 |
| Mailing Fax Number | 3034325071 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
12055 W 2ND PL |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669495404 | Margaret Lackey | Psychiatry & Neurology | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2006-07-25 |
| 1699311803 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2019-11-22 |
| 1649826215 | Valerie K Damron | Technician, Other | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2019-08-10 |
| 1083132559 | Lauren Fouch | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-09-06 |
| 1487170692 | Anastasia Soroka | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-08-18 |
| 1447780994 | Alison West | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-06-18 |
| 1801332655 | Rachael Saffa | Social Worker | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-01-17 |
| 1942744388 | Paula Prentice | Psychologist | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2016-12-04 |
| 1326581257 | Theresa Tomich | Student in an Organized Health Care Education/Training Program | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2016-11-25 |
| 1376092080 | Jessica Way | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228 | 2016-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465826 | Polly L Jason | Counselor | 11720 Edgewater Dr Apt 816, Lakewood, OH 44107-6730 | 2020-07-31 |
| 1700409661 | Mechelle Lynn Schrage | Counselor | 4928 Pearce Ave, Lakewood, CA 90712-2751 | 2020-05-26 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1659910750 | Dorothy Chippendale | Counselor | 501 Prospect St Bldg 1a, Lakewood, NJ 08701-5026 | 2020-01-06 |
| 1215597950 | Erika Lynn Marshall | Counselor | 15316 Grant Ave Sw, Lakewood, WA 98498-2019 | 2019-06-14 |
| 1629632542 | Lyndsey Klemme | Counselor | 13701 W Jewell Ave Ste 6, Lakewood, CO 80228-4139 | 2019-04-25 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1952890584 | Kinue Langhofer | Counselor | 5706 W Asbury Pl Apt 102, Lakewood, CO 80227-2569 | 2018-05-09 |
| 1952801854 | Carol Jeanette Counts | Counselor | 2099 Wadsworth Blvd Ste P, Lakewood, CO 80214-5733 | 2018-02-16 |
| 1518475268 | Keith Douglas White | Counselor | 12050 Lake Ave Apt 504, Lakewood, OH 44107-1872 | 2018-01-16 |
| Find all providers in LAKEWOOD | ||||
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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.