Mrs. Laura Merillat, APN

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Arapahoe Mental Health Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 124 clinicians in the practice; 12 are shown here.

• Michelle Buse, LCSW Clinical Social Worker · Littleton, CO
• Alexander Paul Dziagwa Clinical Social Worker · Parker, CO
• Sam Forbes Professional Counselor · Parker, CO
• Mrs. Rachel Elizabeth Haar, MSS Clinical Social Worker · Denver, CO
• Margot Holmes Clinical Social Worker · Littleton, CO
• Tiffany Jan Johnson Clinical Social Worker · Littleton, CO
• MS. Rebecca A Jovanovich, MS, LMFT, CACIII Addiction (Substance Use Disorder) Counselor · Littleton, CO
• Ramona Logue, RN Psychiatric/Mental Health Nurse Practitioner · Littleton, CO
• Megan Elizabeth Magel, MA, LPC Professional Counselor · Englewood, CO
• Jessica Peeples, LCSW Clinical Social Worker · Highlands Ranch, CO
• Lovisa Taylor, LPC Professional Counselor · Highlands Ranch, CO
• Cathi Vigil, LPCCACII Addiction (Substance Use Disorder) Counselor · Englewood, CO

Other providers in Castle Rock

• Nicky Kulish, RN

  Individual Psychiatric/Mental Health Registered Nurse · NPI 1003490301

  831 S Perry St Ste 100, Castle Rock, CO 80104-1920 · (303) 730-8858

• Morgan Rae Stanton

  Individual Psychiatric/Mental Health Registered Nurse · NPI 1871337766

  2356 Meadows Blvd Ste 230B, Castle Rock, CO 80109-8410 · (303) 730-8858