HEART OF BOARDWALK (NPI# 1134129034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134129034 |
| Entity Type | Organization |
| Organization Name | HEART OF BOARDWALK |
| Other Organization Name | CHARG RESOURCE CENTER |
| Practice Address |
709 E 12th Ave Denver CO 80203-2610 |
| Practice Telephone | 3038308805 |
| Practice Fax Number | 3038308918 |
| Mailing Telephone | 3038308805 |
| Mailing Fax Number | 3038308918 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2013-12-26 |
| Authorized Official Name | MR. DAVID BURGESS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3038308805 |
| Authorized Official Credential | MSW, ACSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
150402 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04008637 | 05 |
| Other Name | Type Code |
|---|---|
| CHARG Resource Center | Doing Business As Name - Organization |
| Street Address |
709 E 12TH AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80203-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285119024 | Todd Matthew Helvig | Psychologist | 709 E 12th Ave, Denver, CO 80203-2610 | 2018-09-27 |
| 1508311697 | Cathy Rubin | Case Manager/Care Coordinator | 709 E 12th Ave, Denver, CO 80203-2610 | 2016-08-18 |
| 1326593419 | Peggy Daniel | Peer Specialist | 709 E 12th Ave, Denver, CO 80203-2610 | 2016-08-18 |
| 1760937858 | Carolyn Hall | Peer Specialist | 709 E 12th Ave, Denver, CO 80203-2610 | 2016-08-18 |
| 1396290383 | Jennifer Miller | Case Manager/Care Coordinator | 709 E 12th Ave, Denver, CO 80203-2610 | 2016-08-18 |
| 1821543067 | Laura Pritchard-haile | Registered Nurse | 709 E 12th Ave, Denver, CO 80203-2610 | 2016-08-17 |
| 1689129934 | Margaret Carlin | Recreation Therapist | 709 E 12th Ave, Denver, CO 80203-2610 | 2016-08-16 |
| 1629522149 | Isabella Kotnour | Counselor | 709 E 12th Ave, Denver, CO 80203-2610 | 2016-08-12 |
| 1144419581 | Stephanie L. Frank | Social Worker | 709 E 12th Ave, Denver, CO 80203-2610 | 2007-10-22 |
| 1477742898 | David D. Burgess | Social Worker | 709 E 12th Ave, Denver, CO 80203-2610 | 2007-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821648999 | Sara Desiree Martin | Student in an Organized Health Care Education/Training Program | 948 Logan St #1, Denver, CO 80203 | 2019-09-19 |
| 1821581471 | Foot Tracks | Physical Therapist | 1120 N Lincoln St Ste 907, Denver, CO 80203 | 2018-06-08 |
| 1558870840 | Rene C. Katial | Registered Nurse | Suncrest Hospice, 777 E. Speer Blvd, Denver, CO 80203 | 2017-09-29 |
| 1295253946 | Katherine Longley | Counselor | 852 N Broadway Ste 200, Denver, CO 80203 | 2017-09-01 |
| 1679097125 | Alyssa Miller | Case Manager/Care Coordinator | 745 Sherman St, Denver, CO 80203 | 2017-07-26 |
| 1861922817 | Cara Jaffee | Nutritionist | 990 Logan St, Apt 701, Denver, CO 80203 | 2017-06-13 |
| 1285168583 | State of Colorado | Point of Service | 1575 Sherman Street, Cdhs, Denver, CO 80203 | 2017-04-13 |
| 1205388931 | Molly Dyer | Acupuncturist | 852 Broadway St., Ste. 200, Denver, CO 80203 | 2016-10-28 |
| 1164897997 | Jennifer Holt | Dietitian, Registered | 1935 Pearl St, Apt 3430, Denver, CO 80203 | 2015-12-04 |
| 1073985131 | Ashley Frances Nelson | Social Worker | 758 Sherman Street, Denver, CO 80203 | 2015-10-28 |
| Find all providers in zip 80203 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866876 | Wholehearted Therapy LLC | Clinic/Center | 7150 E Hampden Ave Ste 307, Denver, CO 80224-3057 | 2020-09-21 |
| 1154941540 | Galia R. Abadi Inc. | Clinic/Center | 4155 E Jewell Ave Ste 1004, Denver, CO 80222-4514 | 2020-04-25 |
| 1508497348 | Josmar Trejo-sanchez | Clinic/Center | 2460 W 26th Ave Ste 217c, Denver, CO 80211-5312 | 2020-01-30 |
| 1487213138 | Edge Psychotherapy | Clinic/Center | 1155 N Sherman St Ste 316, Denver, CO 80203-2295 | 2019-06-06 |
| 1659859668 | Jody R Mccray | Clinic/Center | 4554 Eureka Ct, Denver, CO 80239-5140 | 2018-08-01 |
| 1780191908 | Nova Therapy Pllc. | Clinic/Center | 2806 N Speer Blvd Ste 3a, Denver, CO 80211-4225 | 2018-01-09 |
| 1538692025 | Dream House LLC | Clinic/Center | 1633 Fillmore St Ste 114, Denver, CO 80206-1556 | 2017-04-11 |
| 1457754038 | Laura R Mehringer Ms Rxn Cns LLC | Clinic/Center | 7010 Broadway, Ste 210, Denver, CO 80221-2921 | 2014-09-26 |
| 1316141765 | Orarose Counseling, Inc | Clinic/Center | 1776 S Jackson St Ste 208, Denver, CO 80210-3802 | 2007-06-11 |
| 1750431151 | Associated Geriatric Services Inc | Clinic/Center | 1356 Perry Dr, Denver, PA 17517-8803 | 2007-01-11 |
| Find all providers in DENVER | ||||
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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.