STEPHEN PATRICK KIRKMAN (NPI# 1346450350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346450350 |
| Entity Type | Individual |
| Full Name | STEPHEN PATRICK KIRKMAN |
| Credential | L.P.C. |
| Practice Address |
1 El Pueblo Ranch Way Pueblo CO 81006-2103 |
| Mailing Address |
412 N Orchard Ave Canon City CO 81212-2541 |
| Practice Telephone | 7194041130 |
| Practice Fax Number | 7195447705 |
| Mailing Telephone | 7194041130 |
| Mailing Fax Number | 7195447705 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC-2861 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 33571881 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811909773 | Stephen E Kirkman | Family Medicine | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 | 2006-08-12 |
| Street Address |
1 EL PUEBLO RANCH WAY |
| City | PUEBLO |
| State | CO |
| Zip Code | 81006-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992858344 | El Pueblo Boys' and Girls' Ranch, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1 El Pueblo Ranch Way, Pueblo, CO 81006 | 2007-01-19 |
| 1710532841 | Angel Quattlebaum | Registered Nurse | 1 El Pueblo Ranch Way, Pueblo, CO 81006-2103 | 2019-08-06 |
| 1528613668 | Kayla Watson | Registered Nurse | 1 El Pueblo Ranch Way, Pueblo, CO 81006-2103 | 2019-08-06 |
| 1538529243 | Maren Comfort | Social Worker | 1 El Pueblo Ranch Way, Pueblo, CO 81006-2103 | 2016-02-24 |
| 1104284413 | James B Cardinal | Counselor | 1 El Pueblo Ranch Way, Pueblo, CO 81006-2103 | 2016-02-01 |
| 1265899298 | Rebecca Goodson | Counselor | 1 El Pueblo Ranch Way, Pueblo, CO 81006-2103 | 2016-01-21 |
| 1881051936 | Alexandra Benavidez-duran | Counselor | 1 El Pueblo Ranch Way, Pueblo, CO 81006-2103 | 2016-01-20 |
| 1588021653 | Lisa Perkins | Counselor | 1 El Pueblo Ranch Way, Pueblo, CO 81006-2103 | 2016-01-20 |
| 1053704247 | Arlene Lucero | Residential Treatment Facility, Emotionally Disturbed Children | 1 El Pueblo Ranch Way, Pueblo, CO 81006-2103 | 2015-03-11 |
| 1780081000 | Andrea Ortiz | Social Worker | 1 El Pueblo Ranch Way, Pueblo, CO 81006-2103 | 2014-12-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181760 | Kaitlyn Pullara | Registered Nurse | 1 El Pueblo Way, Pueblo, CO 81006 | 2020-10-13 |
| 1528593167 | Melissa Dasher | Dental Hygienist | 1292 Zinno Blvd, Pueblo, CO 81006 | 2017-04-20 |
| 1043588833 | Johnathan Seamus Waters | Radiologic Technologist | 2223 Daniel Road, Pueblo, CO 81006 | 2011-12-07 |
| 1740347996 | Jose Luis Ramirez | Physician Assistant | 45825 Highway 96 East, Pueblo, CO 81006 | 2007-01-03 |
| 1518062074 | American Medical Response of Colorado Inc | Ambulance | 922 S Santa Fe Ave, Pueblo, CO 81006-1125 | 2006-09-13 |
| 1255654935 | B-4 Day Program and Residential Services Inc. | Day Training, Developmentally Disabled Services | 110 Santa Fe Dr, Pueblo, CO 81006-1174 | 2010-03-09 |
| 1467083022 | Stephanie Ortega | Counselor | 1591 Taos Rd, Pueblo, CO 81006-1232 | 2020-01-31 |
| 1053918623 | Health Solutions | Clinic/Center | 1591 Taos Rd, Pueblo, CO 81006-1232 | 2020-10-06 |
| 1487251278 | Health Solutions | Clinic/Center | 1591 Taos Rd, Pueblo, CO 81006-1232 | 2020-10-05 |
| 1669087128 | Jason Wilson | Counselor | 1591 Taos Rd, Pueblo, CO 81006-1232 | 2020-09-11 |
| Find all providers in zip 81006 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467083022 | Stephanie Ortega | Counselor | 1591 Taos Rd, Pueblo, CO 81006-1232 | 2020-01-31 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1689103657 | Jordan Ami Dalton | Counselor | 41 Montebello Rd Ste 221, Pueblo, CO 81001-1366 | 2017-06-05 |
| 1720526742 | Raymond Mizer | Counselor | 4 Redondo Ln, Pueblo, CO 81005-2953 | 2017-02-09 |
| 1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
| 1417343013 | Denise O'cana | Counselor | 41 Montebello Rd Ste 204, Pueblo, CO 81001-1379 | 2015-04-09 |
| 1932524394 | Karen Khaton | Counselor | 708 Santa Clara Ave, Pueblo, CO 81005-1554 | 2014-02-21 |
| 1447590849 | Teneisha Smith | Counselor | 2109 Chautard Dr, Pueblo, CO 81005-2612 | 2013-02-21 |
| 1871833442 | Josh Aguilar | Counselor | 525 W 9th St, Pueblo, Pueblo, CO 81003-2917 | 2013-02-19 |
| 1851614960 | Danita Jo Johnson | Counselor | 7 Loch Lomond Ln, Pueblo, CO 81001-1729 | 2010-03-03 |
| Find all providers in PUEBLO | ||||
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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.