LAURA PANCZAK (NPI# 1922554302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922554302 |
| Entity Type | Individual |
| Full Name | LAURA PANCZAK |
| Credential | M.A. |
| Practice Address |
3285 Gray St Wheat Ridge CO 80212-7140 |
| Practice Telephone | 3035222704 |
| Mailing Telephone | 3035222704 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
3285 GRAY ST |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80212-7140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407382 | Mary Emma Fawcett | Counselor | Tennyson Center for Children, 2950 Tennyson St, Denver, CO 80212 | 2020-08-10 |
| 1205391422 | Carly Boeselt | Counselor | 5226 Tennyson St, Denver, CO 80212 | 2019-02-01 |
| 1639656176 | Amanda Jane Miller | Massage Therapist | 4433 West 29th Avenue, Suite 203, Denver, CO 80212 | 2018-07-27 |
| 1821587908 | Jolene Lyn Nawrocki | Nurse Practitioner | 5790 W 39th Place, Wheat Ridge, CO 80212 | 2018-05-04 |
| 1679078810 | Rachel Holder | Social Worker | 2905 Tennyson Street, Denver, CO 80212 | 2018-03-29 |
| 1497260723 | Timothy Mullins | Marriage & Family Therapist | 5100 Osceola St, Denver, CA 80212 | 2017-12-08 |
| 1619402757 | Alexis Lowe | Marriage & Family Therapist | 2700 Perry St, Denver, CO 80212 | 2017-04-26 |
| 1578962858 | Brandon Visscher | Dentist | 4277 Tennyson St Ste 102, Denver, CO 80212 | 2014-08-22 |
| 1558778712 | Kerri Mckee | Physician Assistant | 4500 W. 38th Ave, Suite 220, Denver, CO 80212 | 2014-07-18 |
| 1366889859 | John Fricas Sander | Counselor | 4150 Quitman Street, Denver, CO 80212 | 2013-05-24 |
| Find all providers in zip 80212 | ||||
| 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 |
|---|---|---|---|---|
| 1164968657 | Camilla B Granger | Counselor | 4485 Wadsworth. Blvd, 206, Wheat Ridge, CO 80033-3310 | 2017-01-09 |
| 1073952032 | Madyson Nichole Dreiling | Counselor | 7740 W 35th Ave Apt 306, Wheat Ridge, CO 80033-6165 | 2013-06-22 |
| 1023456274 | Allison Jane Bratsch | Counselor | 4251 Kipling St Unit 430, Wheat Ridge, CO 80033-2970 | 2013-06-10 |
| 1043563646 | Robert R Gies | Counselor | 6795 W 38th Ave, Wheat Ridge, CO 80033-4907 | 2012-10-19 |
| 1205031259 | Nikolay Ermakov | Counselor | 10555 W 44th Ave, Bethel Russian Church, Wheat Ridge, CO 80033-2705 | 2007-06-19 |
| 1801919394 | Trudy Magnuson | Counselor | 9605 W 49th Ave Ste 100, Wheat Ridge, CO 80033-2297 | 2007-04-09 |
| 1114049103 | Shawna Chadwick | Counselor | 6175 W 38th Ave, Wheat Ridge, CO 80033-5146 | 2007-04-03 |
| 1235292335 | Paul Scott Barnett | Counselor | 4851 Independence St Ste 200, Wheat Ridge, CO 80033-6712 | 2006-12-19 |
| 1790399186 | Lyndsay Rose Adams | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-09-02 |
| 1619581014 | Kelsey Nicole Shelander | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-09-02 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80212 |
Please comment or provide details below to improve the information on LAURA PANCZAK.
| 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.