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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | RAILROAD MEDICARE | CI3230 | 01 |
CO | 04988085 | 05 |
Other Name | Type Code |
---|---|
Mental Health Partners | Doing Business As Name - Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | MENTAL HEALTH CENTER OF BOULDER COUNTY, INC. | 1455 Dixon Avenue, Suite 300, Lafayette, CO 80026 |
Street Address |
1455 DIXON AVE |
City | LAFAYETTE |
State | CO |
Zip Code | 80026-8879 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 80026 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1407924897 | Medical Management Options, LLC | Clinic/Center | 117 E. Pinhook Rd., Lafayette, LA 70501 | 2006-12-01 |
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Find all providers in LAFAYETTE |
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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.