AMY KLOBERDANZ (NPI# 1821105784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821105784 |
| Entity Type | Individual |
| Full Name | AMY KLOBERDANZ |
| Credential | CAS, BA |
| Practice Address |
114 Bristlecone Dr Fort Collins CO 80524-2031 |
| Mailing Address |
4856 Innovation Dr Ste B Fort Collins CO 80525-5540 |
| Practice Telephone | 9704944200 |
| Mailing Telephone | 9704944200 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACC.0997070 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 525 W Oak St, Fort Collins, CO 805212612 | 9704944200 | |
| 700 Centre Ave, Fort Collins, CO 805262023 | 9704944200 | |
| 1250 N Wilson Ave, Loveland, CO 805374461 | 9704944200 |
| Street Address |
114 BRISTLECONE DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881705 | Jacci Peterson | Case Manager/Care Coordinator | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2020-11-05 |
| 1386260701 | Nickole Kalinay | Counselor | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2020-06-22 |
| 1992326177 | Summitstone Health Partners | Clinic/Center | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2020-04-29 |
| 1184258881 | Rebecca Rusciolelli | Case Manager/Care Coordinator | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2020-03-03 |
| 1558993774 | Paige Lechtenberg | Social Worker | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2020-02-05 |
| 1588205975 | Kristi Nissen | Counselor | 114 Bristlecone Dr, Fort Collins, CO 80524 | 2019-10-07 |
| 1639728454 | Jenessa Lee Rudell | Social Worker | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2019-09-04 |
| 1104474840 | Janee Valenzuela | Social Worker | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2019-08-27 |
| 1144877598 | Emily Rose Fleming | Case Manager/Care Coordinator | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2019-08-21 |
| 1316592389 | Joseph David Edelberg | Counselor | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609497379 | Vance Allen Hansen | Counselor | 203 W Myrtle St Apt C, Fort Collins, CO 80521-2822 | 2020-05-04 |
| 1780233874 | Hygieia Wellness | Counselor | 311 E Mulberry St Ste H, Fort Collins, CO 80524-3193 | 2019-09-10 |
| 1669034096 | Jeffrey M Graff | Counselor | 363 W Drake Rd Ste 8, Fort Collins, CO 80526-2882 | 2019-07-06 |
| 1912380130 | Crystal Vessels | Counselor | 1008 Patton St, Fort Collins, CO 80524 | 2015-07-07 |
| 1710379334 | Kay Kimball | Counselor | 2609 W Vine Dr, Fort Collins, CO 80521-1505 | 2015-02-19 |
| 1609207604 | George Bishop | Counselor | 1020 Country Club Rd, Fort Collins, CO 80524-1818 | 2013-12-02 |
| 1699105783 | Debra Paulison | Counselor | 1612 Lakeshore Dr, Fort Collins, CO 80525-2421 | 2013-11-26 |
| 1144650359 | Patricia Albano Cochran | Counselor | 1930 Constitution Ave, Fort Collins, CO 80526-1504 | 2013-11-25 |
| 1043640501 | Donna Betschowa | Counselor | 301 Spaulding Ln Lot 15, Fort Collins, CO 80524-1858 | 2013-11-20 |
| 1023444130 | Jennifer L Wayman | Counselor | 1412 Ottawa Ct, Fort Collins, CO 80526-2598 | 2013-09-20 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on AMY KLOBERDANZ.
| 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.