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

303 N 7TH St Ste 202
Canon City, CO 81212-3304

Phone

(719) 371-1078

NPI assigned

Aug 2, 2022

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) 269-6889

Specialties & licenses 1

Addresses

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 1750966701
  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
  NPD Authorized official

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1932836897",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N 7TH ST STE 202",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123304",
            "telephone_number": "719-371-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAYWELL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "BRADFIELD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-269-6889",
        "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": []
}

• 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
• Wayne Joe Stock, RN

• 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 Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.