Provider Demographics
NPI:1386488021
Name:ARA, MEGAN JOY (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:JOY
Last Name:ARA
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1465 KELLY JOHNSON BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-3947
Mailing Address - Country:US
Mailing Address - Phone:719-495-3359
Mailing Address - Fax:719-691-7003
Practice Address - Street 1:1465 KELLY JOHNSON BLVD STE 320
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3947
Practice Address - Country:US
Practice Address - Phone:719-495-3359
Practice Address - Fax:719-691-7003
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-19
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0999840-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000231162Medicaid