CRYSTAL REANEE KISSELBURGH (NPI# 1669071213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669071213 |
| Entity Type | Individual |
| Full Name | CRYSTAL REANEE KISSELBURGH |
| Credential | MA, LAC, LPCC |
| Practice Address |
2956 North Ave Ste 1 Grand Junction CO 81504-3919 |
| Mailing Address |
649 Broken Spoke Rd Grand Junction CO 81504-6981 |
| Practice Telephone | 9702081103 |
| Mailing Telephone | 9707797824 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| 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.0001546 | CO | Behavioral Health & Social Service Providers |
| Street Address |
2956 NORTH AVE STE 1 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81504-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699226936 | Ariel Kristine Rendt Padron | Counselor | 639 Long Peak Ct, Grand Junction, CO 81504 | 2016-10-21 |
| 1902197460 | Bereket Yebiyo | Pharmacist | 2992 F Rd., Grand Junction, CO 81504 | 2011-05-02 |
| 1467636787 | Renae Tabin | Physician Assistant | 569 32 Rd Ste 12, Grand Junction, CO 81504 | 2007-12-21 |
| 1689892069 | Mark Newhouse | Physical Therapist | 2777 Crossroads Blvd, Grand Junction, CO 81504 | 2007-04-23 |
| 1841414570 | Deborah Ann Didonato | Registered Nurse | 510 29 .5 Rd, Grand Junction, CO 81504 | 2007-04-12 |
| 1073634952 | Darilynn Sue Maddux | Technician | 510 29.5, Grand Junction, CO 81504 | 2007-04-02 |
| 1538289749 | Shirley Callaway | Registered Nurse | 510 29. 5 Road, Grand Junction, CO 81504 | 2007-03-30 |
| 1407891328 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 569 32 Rd, Grand Junction, CO 81504 | 2006-06-17 |
| 1275536146 | Mesa County Health Department | Registered Nurse | 510 29 1/2 Road, Grand Junction, CO 81504 | 2005-05-24 |
| 1104275882 | Marillac Clinic, Inc | Clinic/Center | 510 29 1/2 Rd, Grand Junction, CO 81504 | 2016-06-03 |
| Find all providers in zip 81504 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218343 | Foundations 4 Life, LLC | Counselor | 2956 North Ave Ste 6, Grand Junction, CO 81504-3919 | 2020-09-03 |
| 1073169678 | Steven Ross Glasser | Counselor | 2456 Theresea Ln, Grand Junction, CO 81505-4804 | 2019-08-11 |
| 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 |
| 1821518853 | Holly Danae Garner | Counselor | 2635 N 7th St Unit 3 North, Grand Junction, CO 81501-8209 | 2017-06-21 |
| 1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
| 1932658507 | Leslie Spring Kittel | Counselor | 1003 Main St, Ste 303, Grand Junction, CO 81501-3540 | 2016-09-23 |
| 1548611577 | Matthew Vogt | Counselor | 1105 Ute Ave, Grand Junction, CO 81501-3652 | 2016-06-30 |
| 1740631779 | Amos Counseling LLC | Counselor | 1150 N. 25th Street Suite B, Grand Junction, CO 81501 | 2016-06-30 |
| 1457795833 | Aaron Joseph Jimenez | Counselor | 478 E Scenic Dr, Grand Junction, CO 81507-1588 | 2013-04-29 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81504 |
Please comment or provide details below to improve the information on CRYSTAL REANEE KISSELBURGH.
| 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.