Marla Katherine Pidgeon, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

998484 Issued in CO

Practice address

3470 S Sherman St Ste 3
Englewood, CO 80113-2663

Phone

(303) 481-3489

NPI assigned

Mar 8, 2023

Last updated

Mar 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Balanced Mental Wellness LLCGroup PAC ID 1759756364, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: balancedmentalwellness.marlapidgeon@153553.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balanced Mental Wellness LLC

  • Adult Mental Health Clinic/Center
  • Littleton, CO
  • NPI 1831797844
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1598465411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 S KING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194523",
            "telephone_number": "303-905-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 S SHERMAN ST STE 3",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132663",
            "telephone_number": "303-481-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIDGEON",
        "first_name": "MARLA",
        "middle_name": "KATHERINE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "998484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Dolores Phillips, M.A.,LLC
• Physical Therapy & Industrial Services PC (Physical Therapy & Injury Specialists)
• Physician Pain Consultants. LLC.
• Physiomed LLC (Physical Dimensions IHG)
• Physiotherapy Associates Inc (Select Physical Therapy)
• Michael Piechowski, BCBA
• Allison V Pierce, RN
• Jordyn Pierce
• Pillpack LLC (Amazon Pharmacy #015)
• Pine and Petal Pediatrics, LLC (Pine & Petal Pediatrics)

• Psychiatric/Mental Health Nurse Practitioner in Englewood, CO
• Providers in Englewood, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.