MENTAL HEALTH CENTER OF BOULDER COUNTY, INC.


Address: 1455 Dixon Ave, Lafayette, CO 80026-8879
Phone: 3034438500

MENTAL HEALTH CENTER OF BOULDER COUNTY, INC. (NPI# 1093767543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093767543
Entity Type Organization
Organization Name MENTAL HEALTH CENTER OF BOULDER COUNTY, INC.
Other Organization Name MENTAL HEALTH PARTNERS
Practice Address 1455 Dixon Ave
Lafayette
CO 80026-8879
Practice Telephone 3034438500
Practice Fax Number 3034136256
Mailing Telephone 3034438500
Mailing Fax Number 3034136256
Enumeration Date 2006-05-16
Last Update Date 2020-10-01
Authorized Official Name JOANIE GERGEN (REVENUE CYCLE DIRECTOR)
Authorized Official Telephone 3034438500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
1052-00 CO Ambulatory Health Care Facilities
N 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
1052-01 CO Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
0394 CO Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO RAILROAD MEDICARE CI3230 01
CO 04988085 05

Other Provider/Organization Names

Other Name Type Code
Mental Health Partners Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962042127 Mental Health Center of Boulder County, Inc. Community/Behavioral Health 799 Us Highway 287 Unit F, Broomfield, CO 80020-0201 2020-01-15
1154920908 Mental Health Center of Boulder County, Inc. Clinic/Center 975 North St, Boulder, CO 80304-3279 2020-10-22

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities MENTAL HEALTH CENTER OF BOULDER COUNTY, INC. 1455 Dixon Avenue, Suite 300, Lafayette, CO 80026

Office Location

Street Address 1455 DIXON AVE
City LAFAYETTE
State CO
Zip Code 80026-8879

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487255980 Savannah J Pierce Social Worker 1455 Dixon Ave, Lafayette, CO 80026-8879 2020-11-03
1679172324 Asia Jaworowska Counselor 1455 Dixon Ave, Lafayette, CO 80026-8879 2020-10-23
1881293124 Evelyn C Bean Nurse's Aide 1455 Dixon Ave, Lafayette, CO 80026-8879 2020-10-19
1861009904 Rachel Pearl Vanetten Counselor 1455 Dixon Ave, Lafayette, CO 80026-8879 2020-09-23
1043826258 Erica Frances Martinez Social Worker 1455 Dixon Ave, Lafayette, CO 80026-8879 2020-09-22
1851907042 Ariana Gwen Cohn Counselor 1455 Dixon Ave, Lafayette, CO 80026-8879 2020-09-22
1437765138 Tova Selene Lipkin Sularz Social Worker 1455 Dixon Ave, Lafayette, CO 80026-8879 2020-09-17
1992311765 Anna Lynne Gilmour Student in an Organized Health Care Education/Training Program 1455 Dixon Ave, Lafayette, CO 80026-8879 2020-09-17
1063028942 Donna Jane Kruger Counselor 1455 Dixon Ave, Lafayette, CO 80026-8879 2020-09-16
1043825672 Megan Mackenzie Social Worker 1455 Dixon Ave, Lafayette, CO 80026-8879 2020-09-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528671690 Julia Michele Colton Occupational Therapist 110 S. Roosevelt Ave, Lafayette, CO 80026 2020-08-28
1265045900 Amber M. Roter Social Worker 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 2020-08-24
1669008314 Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd Clinic/Center 588 N Hwy 287, Suite 200, Lafayette, CO 80026 2020-03-13
1659918910 Emily Nicole Pearson Behavior Technician 961 Sandstone Circle, Lafayette, CO 80026 2019-12-05
1790320612 Gs Campus Asc, LLC Clinic/Center Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 2019-11-14
1639711864 Martina Christina Holzach Student in an Organized Health Care Education/Training Program 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 2019-10-09
1104474055 2nd Star Counseling Clinic/Center 260 S. Public Rd, Lafayette, CO 80026 2019-09-03
1912460015 Premier Eye Surgery Center of Colorado, LLC Clinic/Center 1050 W. South Boulder Road, Lafayette, CO 80026 2019-04-08
1144704883 Nikole J Randolph Nutritionist 2770 Dagny Way Suite 210, Lafayette, CO 80026 2018-09-19
1609388842 Claro Scientific Laboratories Corp Clinical Medical Laboratory 1408 Horizon Ave Ste 101, Lafayette, CO 80026 2017-10-27
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205455805 Greenhouse Counseling Services Clinic/Center 141 Ridgeway Dr Ste 107, Lafayette, LA 70503-3402 2020-04-13
1326685603 Caring Hearts and Hands of Louisiana Clinic/Center 3414 Moss St Ste H, Lafayette, LA 70507-6107 2019-12-05
1821571720 Kairos Counseling Services Clinic/Center 1921 Dulles Dr Ste A, Lafayette, LA 70506-2716 2018-09-07
1205337581 Alternative Perspectives, LLC Clinic/Center 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 2018-02-22
1881067049 Catherine Udofia, LLC Clinic/Center 5 Phlox Dr, Lafayette, LA 70507-4538 2015-11-09
1295107985 Melinda Johnson Davis Clinic/Center 700 Saint Landry St, Lafayette, LA 70506 2015-10-21
1407924897 Medical Management Options, LLC Clinic/Center 117 E. Pinhook Rd., Lafayette, LA 70501 2006-12-01
1235232786 Resource Management Services of St. Landry, LLC Clinic/Center 200 Energy Pkwy, Lafayette, LA 70508-3816 2006-09-07
1689629990 Valley Oaks Health Inc Clinic/Center 415 N 26th Street, Suite 201, Lafayette, IN 47904-2856 2006-05-24
1326097429 Lifecare Psychiatric Services, LLC Clinic/Center 170 Industrial Pkwy, Lafayette, LA 70508-8309 2006-05-08
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Competitor

Search similar providers

City LAFAYETTE
Zip Code 80026

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Dataset Information

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.

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