VCPHCS X, LLC (NPI# 1003359118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003359118 |
| Entity Type | Organization |
| Organization Name | VCPHCS X, LLC |
| Practice Address |
850 23rd Ave Unit A Longmont CO 80501-1114 |
| Mailing Address |
5001 Spring Valley Rd Suite 600 East Dallas TX 75244 |
| Practice Telephone | 3032450123 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2018-03-05 |
| Authorized Official Name | HEATHER HONIG (FIELD OPERATIONS LIAISON) |
| Authorized Official Telephone | 2143656195 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 1597-01 | CO | Allopathic & Osteopathic Physicians |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 68070861 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972056547 | Vcphcs X, LLC | Clinic/Center | 2114 Midpoint Dr, Suite 4, Fort Collins, CO 80525 | 2016-07-29 |
| 1073774667 | Vcphcs X, LLC | Clinic/Center | 850 23rd Ave, Unit A, Longmont, CO 80501 | 2008-06-17 |
| 1568905677 | Vcphcs X, LLC | Clinic/Center | 850 23rd Ave Ste A, Longmont, CO 80501 | 2016-11-21 |
| Street Address |
850 23RD AVE UNIT A |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073774667 | Vcphcs X, LLC | Clinic/Center | 850 23rd Ave, Unit A, Longmont, CO 80501 | 2008-06-17 |
| 1154830982 | Kayla M Hokanson | Counselor | 850 23rd Ave, Longmont, CO 80501 | 2017-09-25 |
| 1366996191 | Marae Encinias | Counselor | 850 23rd Ave, Longmont, CO 80501-1114 | 2016-08-10 |
| 1932557121 | Robin S Durkee | Social Worker | 850 23rd Ave, Longmont, CO 80501-1114 | 2016-05-27 |
| 1588039945 | Susan Kanemasu | Counselor | 850 23rd Ave, Unit A, Longmont, CO 80501-1114 | 2015-12-09 |
| 1760856686 | Sandy Peer | Counselor | 850 23rd Ave, Unit A, Longmont, CO 80501-1114 | 2015-11-16 |
| 1881067759 | Helen Miller | Counselor | 850 23rd Ave, Ste A, Longmont, CO 80501-1114 | 2015-11-02 |
| 1881098226 | Amanda Sue Malone | Counselor | 850 23rd Ave, Suite A, Longmont, CO 80501-1114 | 2014-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
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| 1356956288 | Community Reach Center, Inc | Clinic/Center | 2551 W 84th Ave Ste 2, Westminster, CO 80031-3807 | 2020-09-08 |
| 1053926980 | Community Reach Center, Inc | Clinic/Center | 100 Spader Way Ste 267, Broomfield, CO 80020-2441 | 2020-09-08 |
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1679183503 | Flatirons Recovery Center, LLC | Clinic/Center | 2770 Dagny Way Ste 202, Lafayette, CO 80026-8013 | 2020-08-05 |
| 1225663545 | Centennial Mental Helath Center | Clinic/Center | 80 East First, Suite 2, Cheyenne Wells, CO 80810-0000 | 2020-03-06 |
| 1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
| 1841820644 | Advantage Treatment Centers Inc | Clinic/Center | 2017 Lava Ln, Alamosa, CO 81101-3578 | 2020-01-21 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1003462623 | Realize Recovery LLC | Clinic/Center | 3775 Iris Ave Ste 6, Boulder, CO 80301-2043 | 2019-08-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.