DEDRA CHAVIS (NPI# 1376048462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376048462 |
| Entity Type | Individual |
| Full Name | DEDRA CHAVIS |
| Practice Address |
2350 W 3rd Street Rd Greeley CO 80631 |
| Mailing Address |
1300 N 17th Ave Greeley CO 80631-9584 |
| Practice Telephone | 9703472120 |
| Mailing Telephone | 9703472120 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 611458290 | 05 |
| Street Address |
2350 W 3RD STREET RD |
| City | GREELEY |
| State | CO |
| Zip Code | 80631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275548638 | North Range Behavioral Health | Clinic/Center | 2350 W 3rd Street Rd, Greeley, CO 80631 | 2006-07-31 |
| 1073128476 | North Range Behavioral Health | Clinic/Center | 2350 W 3rd Street Rd, Greeley, CO 80631-1548 | 2020-09-11 |
| 1912464538 | Miah Gutierrez | Peer Specialist | 2350 W 3rd Street Rd, Greeley, CO 80631-1548 | 2019-03-01 |
| 1477027621 | John Batchelor | Community Health Worker | 2350 W 3rd Street Rd, Greeley, CO 80631-1548 | 2019-01-21 |
| 1609349851 | Marsha Christene Heineke | Community Health Worker | 2350 W 3rd Street Rd, Greeley, CO 80631-1548 | 2019-01-09 |
| 1184109936 | Andrea Amaya | Peer Specialist | 2350 W 3rd Street Rd, Greeley, CO 80631-1548 | 2018-09-27 |
| 1730546524 | Krystal G Kniegge | Counselor | 2350 W 3rd Street Rd, Greeley, CO 80631-1548 | 2016-01-25 |
| 1932566973 | Hannah K Greer | Counselor | 2350 W 3rd Street Rd, Greeley, CO 80631-1548 | 2016-01-21 |
| 1598139180 | Sandra W Hamman | Community Health Worker | 2350 W 3rd Street Rd, Greeley, CO 80631-1548 | 2015-11-19 |
| 1083088850 | Fathia A Barkadle | Counselor | 2350 W 3rd Street Rd, Greeley, CO 80631-1548 | 2015-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307211 | Andrea Yaverski | Counselor | 3400 W 16th St Bldg 2, Greeley, CO 80634-6862 | 2020-08-18 |
| 1588275341 | Kayla E O'brien | Counselor | 710 11th Ave # I46, Greeley, CO 80631-6405 | 2020-08-13 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1447899661 | Patrick Call | Counselor | 6910 W 31st St, Greeley, CO 80634-8975 | 2020-01-06 |
| 1851950638 | Perklen Inc. | Counselor | 2619 West 11th Street Road, Suite #23, Greeley, CO 80634-5459 | 2019-06-06 |
| 1669934824 | Julie Bruhn | Counselor | 4672 W 20th Street Rd Unit 1512, Greeley, CO 80634-8403 | 2019-04-04 |
| 1114499811 | Alycia Ann Stack Erickson | Counselor | 1808 Dilmont Ave, Greeley, CO 80631-6207 | 2018-12-19 |
| 1275015729 | Kathryn Watt | Counselor | 1770 25th Ave Ste 202, Greeley, CO 80634-4949 | 2018-08-31 |
| 1710465588 | Jamie J Henry | Counselor | 2010 8th Ave Apt 4, Greeley, CO 80631-7000 | 2018-08-02 |
| 1376046383 | Kathleen J Sutton | Counselor | 5145 W 11th St Apt 814, Greeley, CO 80634-2167 | 2018-03-15 |
| Find all providers in GREELEY | ||||
Please comment or provide details below to improve the information on DEDRA CHAVIS.
| 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.