MICHAEL COSTELLO (NPI# 1487165791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487165791 |
| Entity Type | Individual |
| Full Name | MICHAEL COSTELLO |
| Credential | M.S., LAC |
| Practice Address |
114 N 12th St Grand Junction CO 81501-3534 |
| Mailing Address |
377 Rodell Dr Grand Junction CO 81507-1744 |
| Practice Telephone | 9705499050 |
| Enumeration Date | 2017-10-14 |
| Last Update Date | 2017-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | ACD.0000462 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336220466 | Michael A Costello | Dentist | 949 Spring Valley Rd, Maywood, NJ 07607 | 2006-10-17 |
| 1740250125 | Michael W Costello | Family Medicine | 194 Thomas Johnson Dr Ste A, Frederick, MD 21702 | 2006-01-26 |
| 1669728812 | Michael Costello | Dentist | 40 Poplar St, Danvers, MA 01923-2249 | 2012-07-25 |
| 1649593211 | Michael John Costello | Physical Therapist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2010-03-10 |
| 1366645111 | Michael R Costello | Internal Medicine | 440 E Marshall St, Suite 201, West Chester, PA 19380-5414 | 2007-06-08 |
| 1073527222 | Michael L Costello | Dentist | 1333 College Ave, Suite C, South Milwaukee, WI 53172-1150 | 2006-07-27 |
| 1366470403 | Michael J Costello | Surgery | 2215 Nebraska Ave, Suite 3d, Fort Pierce, FL 34950-4864 | 2006-06-29 |
| 1477544781 | Michael John Costello | Emergency Medicine | 5555 W Las Positas Blvd, Pleasanton, CA 94588-4000 | 2005-11-04 |
| 1083609192 | Michael Costello | Physician Assistant | 4967 Crooks Rd, Suite 120, Troy, MI 48098-5801 | 2005-09-14 |
| Street Address |
114 N 12TH ST |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| 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 |
|---|---|---|---|---|
| 1508405242 | Emilie Mae Climer | Counselor | 616 25 1/2 Rd Unit 26, Grand Junction, CO 81505-1041 | 2019-12-28 |
| 1306481148 | Courtney Glen Lehman | Counselor | 2970 Sandra Ave, Grand Junction, CO 81504-5480 | 2019-11-15 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1396235909 | Nicole Lynn Izatt | Counselor | 595 Shoshone St, Grand Junction, CO 81504-5682 | 2018-05-18 |
| 1184149197 | Jonathan Scott Canty | Counselor | 2802 Elm Ave, Grand Junction, CO 81501-4908 | 2017-08-10 |
| 1497208672 | Kaleo Kealohanui Nakano | Counselor | 1410 N 19th St, Grand Junction, CO 81501-6512 | 2016-07-25 |
| 1578935623 | Lisa Beth Bassett | Counselor | 703 1/2 Spanish Trail Dr, Grand Junction, CO 81505-9754 | 2015-10-28 |
| 1447638390 | Lea Ayer | Counselor | 634 Main St Ste 5, Grand Junction, CO 81501-2773 | 2015-05-12 |
| 1891185997 | Renee Jeffers | Counselor | 1524 Pinyon Ave, Grand Junction, CO 81501-8530 | 2015-01-27 |
| 1245658384 | Chandra Adams | Counselor | 1226 N 7th St, Suite 200, Grand Junction, CO 81501-3025 | 2014-04-05 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
Please comment or provide details below to improve the information on MICHAEL COSTELLO.
| 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.