Staywell Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

STAYWELL COUNSELING, LLC

Practice address

402 Valley Rd
Canon City, CO 81212-4176

Phone

(719) 371-1078

NPI assigned

Mar 11, 2021

Organization subpart

No

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

Authorized official

Name

Deborah Bradfield, LCSWNPI 1477146967

Title

Owner

Phone

(719) 371-1078

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Staywell Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Staywell Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Canon City, CO
  • NPI 1932836897
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Bradfield, LCSW

  • Clinical Social Worker
  • Canon City, CO
  • NPI 1477146967
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1750966701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 YUCCA AVE",
            "city": "FLORENCE",
            "state": "CO",
            "postal_code": "812269548",
            "telephone_number": "719-371-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 VALLEY RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124176",
            "telephone_number": "719-371-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAYWELL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "BRADFIELD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-371-1078",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Southard
• Southern Colorado Sedation Specialists LLC
• Megan M St. Prix
• Amy R Stair, LCSW
• Kristy L Stansell, LPC
• Staywell Counseling, LLC
• Suzan Steele, MSW
• Lori Sue Steinbeck, RN
• Debra A Stender, MA
• Paige Stewart, BS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Canon City, CO
• Providers in Canon City, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.