COLORADO MESA UNIVERSITY (NPI# 1922459007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922459007 |
| Entity Type | Organization |
| Organization Name | COLORADO MESA UNIVERSITY |
| Other Organization Name | UNIVERSITY WELLNESS CENTER |
| Practice Address |
1100 North Ave Grand Junction CO 81501-3122 |
| Practice Telephone | 9702481654 |
| Practice Fax Number | 9702481550 |
| Mailing Telephone | 9702481654 |
| Mailing Fax Number | 9702481550 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |
| Authorized Official Name | MR. BOB L LANG (DIRECTOR OF DAH) |
| Authorized Official Telephone | 9702018472 |
| Authorized Official Credential | LPC, LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC4881 | CO | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| University Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629452255 | Colorado Mesa University | Orthopaedic Surgery | 1100 North Ave, Grand Junction, CO 81501-3122 | 2015-07-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COLORADO MESA UNIVERSITY | 1100 North Ave, Grand Junction, CO 81501-3122 |
| System for Award Management (SAM) Entities | COLORADO MESA UNIVERSITY FOUNDATION | 1450 North 12th St, Grand Junction, CO 81501-7686 |
| Street Address |
1100 NORTH AVE |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861411415 | Jeremy Hawkins | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2006-07-18 |
| 1235749797 | Sierra Denise Reich | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2020-08-08 |
| 1831709963 | Katie Ivers | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2020-08-04 |
| 1740890870 | Hannah Rank | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2020-08-04 |
| 1730799867 | Tanner Jay Hallock | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2020-08-04 |
| 1952911083 | Haley Raeanne Wiedeman | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2020-08-04 |
| 1124638259 | Kelsey Forbord | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2020-08-04 |
| 1811522329 | Naomi Brown | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2020-03-04 |
| 1609422153 | Megan Kennedy | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2019-08-12 |
| 1336794452 | Rylee Blacker | Specialist/Technologist | 1100 North Ave, Grand Junction, CO 81501-3122 | 2019-08-06 |
| Find all providers in the same location | ||||
| 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 |
| 1487165791 | Michael Costello | Counselor | 114 N 12th St, Grand Junction, CO 81501-3534 | 2017-10-14 |
| 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 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
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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.