Cedar Circle Counseling LLC
Organization Active NPI Clinical Social Worker · Cedaredge, CO
NPI 1841968658 · NPPES record last updated Sep 6, 2021
Key facts
- NPI
- 1841968658
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- CEDAR CIRCLE COUNSELING LLC
- Practice address
- 21010 Rustic Rd
Cedaredge, CO 81413-8430 - Phone
- (970) 628-0910
- NPI assigned
- Sep 6, 2021
- Organization subpart
- No
Authorized official
- Name
- Ms. Marjorie Clewett Von Ronne, MA, LPCC
- Title
- Owner
- Phone
- (970) 628-0910
Practitioners 2
-
Marjorie Clewett Von Ronne, MA, CMP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240807002637 | CO | Part B Supplier - Clinic/Group Practice | 4385181494 |
Receives reassigned benefits from 1 practitioner Practice locations: Cedaredge, CO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | |||
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
21010 Rustic Rd
Cedaredge, CO 81413-8430
Mailing address
PO Box 72
Cedaredge, CO 81413-0072
Phone (970) 628-0910
Other providers in Cedaredge, CO
- Deborah Ann Bhasker
- Kim E. Briarwood
- Cedar Point Health LLC
- Cedar Point Health LLC
- Cedaredge Chiropractic Inc.
- Cedaredge Doctors Office PC
- Cedaredge Pharmacy Inc.
All providers in Cedaredge, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.