Provider Demographics
NPI:1518544576
Name:ESTEEM COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:ESTEEM COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPC
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROSKO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC, ACS
Authorized Official - Phone:720-644-6730
Mailing Address - Street 1:7345 ADVENTURE WAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-5000
Mailing Address - Country:US
Mailing Address - Phone:720-644-6730
Mailing Address - Fax:719-960-2317
Practice Address - Street 1:7345 ADVENTURE WAY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-5000
Practice Address - Country:US
Practice Address - Phone:720-644-6730
Practice Address - Fax:719-960-2317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
13863806OtherCAQH
CO9000178599Medicaid