MS. THERESA MARIE BAUER (NPI# 1962592253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962592253 |
| Entity Type | Individual |
| Full Name | MS. THERESA MARIE BAUER |
| Credential | LPC, CAC III |
| Practice Address |
302 Barnes Ave La Junta CO 81050-1329 |
| Mailing Address |
32849 County Road 10 Manzanola CO 81058-9711 |
| Practice Telephone | 7193848503 |
| Practice Fax Number | 7193848411 |
| Mailing Telephone | 7199800133 |
| Mailing Fax Number | 7194625716 |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3846 | CO | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
1562 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861798928 | Theresa Ann Bauer | Nurse Practitioner | 10498 Montgomery Rd, Suite D, Cincinnati, OH 45242-4462 | 2011-02-07 |
| 1023299724 | Theresa Bauer | Dental Hygienist | 233 W Joe Orr Rd, Chicago Heights, IL 60411-1744 | 2007-11-21 |
| Street Address |
302 BARNES AVE |
| City | LA JUNTA |
| State | CO |
| Zip Code | 81050-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194837484 | Single Point Services Inc | Counselor | 302 Barnes Ave, La Junta, CO 81050 | 2006-08-31 |
| 1558903708 | Southeast Mental Health Services | Clinic/Center | 302 Barnes Ave, La Junta, CO 81050-1329 | 2019-10-09 |
| 1063660686 | Emily Suzanna Lucero-deleon | Counselor | 302 Barnes Ave, La Junta, CO 81050-1329 | 2008-09-08 |
| 1023265212 | Janet L. Hawf | Counselor | 302 Barnes Ave, La Junta, CO 81050-1329 | 2008-08-19 |
| 1821245010 | Ron R. Hawf | Counselor | 302 Barnes Ave, La Junta, CO 81050-1329 | 2008-08-19 |
| 1962531707 | Single Point Services, Inc. | Community/Behavioral Health | 302 Barnes Ave, La Junta, CO 81050-1329 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2315 San Juan Avenue, La Junta, CO 81050 | 2020-04-22 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1164945127 | Susan Ann Workman | Clinical Nurse Specialist | 13 West Third Street, Room 111, La Junta, CO 81050 | 2017-07-21 |
| 1952774465 | Ryan T Anderson Ddc PC | Clinic/Center | 13 E 4th St., La Junta, CO 81050 | 2015-11-05 |
| 1083086524 | Ryan Taylor Anderson | Dentist | 13 East 4th Street, La Junta, CO 81050 | 2015-10-23 |
| 1902287329 | Shanna Kay Riley | Case Manager/Care Coordinator | 711 Barnes Ave., La Junta, CO 81050 | 2015-06-11 |
| 1548668593 | Joseph Wayne Lee | Licensed Practical Nurse | 1203 Holt Ln, Lajunta, CO 81050 | 2014-12-08 |
| 1730506809 | Down To Earth Dentistry, LLC. | Dentist | 17 W. 4th St., La Junta, CO 81050 | 2014-03-26 |
| 1154668275 | Arkansas Valley Hearing Center, Inc | Hearing Aid Equipment | 408 West 3rd St, La Junta, CO 81050 | 2013-01-09 |
| 1710223698 | Timothy Eugene Kelley | Counselor | 313 West Third Street, Suite 204, La Junta, CO 81050 | 2012-12-20 |
| Find all providers in zip 81050 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073643011 | Felicitas A. Strong | Counselor | 114 W. 3rd Street, La Junta, CO 81050-2138 | 2007-03-07 |
| 1477195170 | Jonathon Michael Melendez | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-10-14 |
| 1053884130 | Adam Schafer | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-01-10 |
| 1558834630 | Randi Howell | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-01-10 |
| 1851862155 | Jose Soto | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2018-12-11 |
| 1083144257 | Sheri Lee Vader | Counselor | 711 Barnes Ave, La Junta, CO 81050 | 2017-06-19 |
| 1487071544 | Steve Vigil | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2014-03-26 |
| 1700151891 | Deborah Anne Degrado | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2012-03-21 |
| 1356646905 | Amada N/a Hernandez | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2011-01-12 |
| 1063660686 | Emily Suzanna Lucero-deleon | Counselor | 302 Barnes Ave, La Junta, CO 81050-1329 | 2008-09-08 |
| Find all providers in LA JUNTA | ||||
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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.