CANDACE BOLZ (NPI# 1578172482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578172482 |
| Entity Type | Individual |
| Full Name | CANDACE BOLZ |
| Credential | LAC |
| Practice Address |
18743 Roller Coaster Rd Monument CO 80132-8352 |
| Mailing Address |
18285 Roller Coaster Rd Monument CO 80132-8352 |
| Practice Telephone | 3038757438 |
| Mailing Telephone | 3038757438 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| 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) |
ACD.0000929 | CO | Behavioral Health & Social Service Providers |
| Street Address |
18743 ROLLER COASTER RD |
| City | MONUMENT |
| State | CO |
| Zip Code | 80132-8352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314131 | 100 Percent Chiropractic Rodgers LLC | Chiropractor | 1495 Cipriani Loop, Monument, CO 80132 | 2019-03-12 |
| 1417421025 | Jackson Creek Assisted Living, LLC | Assisted Living Facility | 16601 Jackson Creek Parkway, Monument, CO 80132 | 2019-01-16 |
| 1609357144 | Baptist Road Dental | Dentist | 1036 Baptist Road, Monument, CO 80132 | 2018-08-23 |
| 1609352186 | Mountain Springs Recovery LLC | Substance Abuse Rehabilitation Facility | 1865 Woodmoor Dr, Monument, CO 80132 | 2018-07-17 |
| 1528553070 | Comfort Dental Oral Surgery Colorado Springs LLC | Dentist | 556 W. Hwy 105, Monument, CO 80132 | 2018-06-27 |
| 1265926844 | Lauren Elizabeth Nasuti | Massage Therapist | 17232 Jackson Creek Pkwy, #300, Monument, CO 80132 | 2018-06-18 |
| 1578079224 | Courtney Hopkins | Behavior Technician | 590 Hwy 105 Suite 105, Monument, CO 80132 | 2017-12-18 |
| 1033623475 | Deborah Tebault | Counselor | 220 N. Washington St., Suite F, Monument, CO 80132 | 2017-11-21 |
| 1902347578 | Monument Dentists and Orthodontics, LLP | Dentist | 950 W Baptist Road, Suite 100, Monument, CO 80132 | 2017-03-16 |
| 1972909463 | Timothy P O'connor | Counselor | 3065 Mt. Herman Rd., Monument, CO 80132 | 2014-11-10 |
| Find all providers in zip 80132 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306370507 | Andrea Vanbergen | Counselor | 1824 Woodmoor Dr Ste 101, Monument, CO 80132-9097 | 2017-04-13 |
| 1972909463 | Timothy P O'connor | Counselor | 3065 Mt. Herman Rd., Monument, CO 80132 | 2014-11-10 |
| 1851353759 | Betty Jo Smith | Counselor | 325 Second St, Monument, CO 80132-7935 | 2006-04-05 |
| 1669990156 | Cynthia Maiorino Orta | Counselor | 1824 Woodmoor Dr Ste 101, Monument, CO 80132-9097 | 2017-09-05 |
| 1477086072 | Lenore L Heckman | Counselor | 1824 Woodmoor Dr, Suite 101, Monument, CO 80132-9097 | 2017-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446505 | Rae Ann Bartels Lpc Lac LLC | Counselor | 101 E 3rd St Ste 209, Rifle, CO 81650-2317 | 2020-10-27 |
| 1346849841 | Polaris Partners Counseling and Consulting LLC | Counselor | 155 S Madison St Ste 306, Denver, CO 80209-3014 | 2020-10-26 |
| 1669071213 | Crystal Reanee Kisselburgh | Counselor | 2956 North Ave Ste 1, Grand Junction, CO 81504-3919 | 2020-10-23 |
| 1013514272 | Rhianna Lauren Dow | Counselor | 9015 E 47th Ave Unit 102, Denver, CO 80238-4213 | 2020-10-01 |
| 1710594965 | Maggie Wehrmann | Counselor | 600 W County Line Rd Apt 30-101, Highlands Ranch, CO 80129-6510 | 2020-09-30 |
| 1497361646 | Jessica A Olguin | Counselor | 6901 S Pierce St Ste 337, Littleton, CO 80128-7202 | 2020-09-22 |
| 1083220099 | Samantha Pino | Counselor | 41 Montebello Rd Ste 124, Pueblo, CO 81001-1366 | 2020-09-16 |
| 1740894781 | Arapahoe Mental Health Center, Inc | Counselor | 116 Inverness Dr E Ste 105, Englewood, CO 80112-5125 | 2020-09-08 |
| 1982218343 | Foundations 4 Life, LLC | Counselor | 2956 North Ave Ste 6, Grand Junction, CO 81504-3919 | 2020-09-03 |
| 1376156208 | Compass Counseling & Consultation Pllc | Counselor | 13353 Wildflower St, Broomfield, CO 80020-5266 | 2020-08-29 |
| Find all providers with the same taxonomy | ||||
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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.