MATTHEW CAVANNA (NPI# 1497302319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497302319 |
| Entity Type | Individual |
| Full Name | MATTHEW CAVANNA |
| Practice Address |
1455 Dixon Ave Ste 300 Lafayette CO 80026-8880 |
| Mailing Address |
9090 Judson St Westminster CO 80031-3349 |
| Practice Telephone | 3034438500 |
| Mailing Telephone | 4154088106 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
1455 DIXON AVE STE 300 |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-8880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700910221 | Guy Michael Guinn | Counselor | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2007-03-15 |
| 1265047120 | Kelly Megan Shea | Social Worker | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2020-09-08 |
| 1770118838 | Taylor Whaley | Counselor | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2020-03-10 |
| 1689225054 | Amanda Kay Padgett | Counselor | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2019-09-26 |
| 1679129621 | Alex Kirk | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2019-08-15 |
| 1316591092 | Nicholas Wayne Butkovich | Case Manager/Care Coordinator | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2019-07-30 |
| 1609337401 | Margaret Elizabeth Genevie | Case Manager/Care Coordinator | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2019-03-26 |
| 1528529419 | Susan Nichols | Technician, Other | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2019-03-25 |
| 1174094783 | Karlie Roshong | Counselor | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2018-12-07 |
| 1063981298 | Melissa Grivy | Peer Specialist | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2018-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049926 | Lindsay Blair Charles | Counselor | 100 Saw Mill Rd Ste 3300, Lafayette, IN 47905-5598 | 2020-10-07 |
| 1346701711 | Lacie Chappuis | Counselor | 143 Ridgeway Dr Ste 303, Lafayette, LA 70503-3410 | 2019-03-28 |
| 1518427434 | Janice Weber | Counselor | 143 Ridgeway Dr Ste 201, Lafayette, LA 70503-3414 | 2019-03-25 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| 1770051005 | Kerri Prejean | Counselor | 850 Kaliste Saloom Rd Ste 218, Lafayette, LA 70508-4230 | 2018-11-05 |
| 1750884094 | Courtney Miller | Counselor | 3112 W Pinhook Rd Ste B, Lafayette, LA 70508-3443 | 2018-03-13 |
| 1962913970 | Heather Cook | Counselor | 400 E Simpson St Ste 104, Lafayette, CO 80026-2359 | 2017-10-17 |
| 1851801377 | Wanda Faye Ventress | Counselor | 130 Chappuis Dr, Lafayette, LA 70501-3656 | 2017-10-11 |
| 1376901272 | Elizabeth Baumer | Counselor | 93 Magnate Drive, Lafayette, LA 70508 | 2016-02-05 |
| 1497120927 | Veronicle Lorena Guillory | Counselor | 412 Timber Creek Dr, Lafayette, LA 70506-5055 | 2015-12-09 |
| Find all providers in LAFAYETTE | ||||
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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.