NORTH RANGE BEHAVIORAL HEALTH (NPI# 1184239758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184239758 |
| Entity Type | Organization |
| Organization Name | NORTH RANGE BEHAVIORAL HEALTH |
| Practice Address |
5901 Majestic St Frederick CO 80504-6933 |
| Mailing Address |
1300 N 17th Ave Greeley CO 80631-9584 |
| Practice Telephone | 3038572723 |
| Mailing Telephone | 9703472120 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | LARRY POTTORFF (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9703472373 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000164590 | 05 | |
| CO | DHS-OBH | 1386-13 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295060598 | North Range Behavioral Health | Clinic/Center | 1260 H St, Greeley, CO 80631-9115 | 2009-10-05 |
| 1275548638 | North Range Behavioral Health | Clinic/Center | 2350 W 3rd Street Rd, Greeley, CO 80631 | 2006-07-31 |
| 1669431524 | North Range Behavioral Health | Public Health or Welfare | 1300 N 17th Ave, Greeley, CO 80631 | 2006-03-20 |
| 1629684881 | North Range Behavioral Health | Clinic/Center | 1140 M St, Greeley, CO 80631-9586 | 2020-09-22 |
| 1386250843 | North Range Behavioral Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620-1011 | 2020-09-21 |
| 1487260956 | North Range Behavioral Health | Clinic/Center | 1309 10th Ave, Greeley, CO 80631-3832 | 2020-09-21 |
| 1346856887 | North Range Behavioral Health | Clinic/Center | 1170 W Ash St Ste 100, Windsor, CO 80550-4783 | 2020-09-21 |
| 1215543855 | North Range Behavioral Health | Clinic/Center | 7251 W 20th St Unit C, Greeley, CO 80634-4626 | 2020-09-18 |
| 1598371494 | North Range Behavioral Health | Clinic/Center | 100 N 11th Ave, Greeley, CO 80631-2011 | 2020-09-17 |
| 1578179487 | North Range Behavioral Health | Clinic/Center | 928 12th St, Greeley, CO 80631-4024 | 2020-09-17 |
| Street Address |
5901 MAJESTIC ST |
| City | FREDERICK |
| State | CO |
| Zip Code | 80504-6933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407861800 | Abbey G Keeney | Counselor | 5901 Majestic St, Frederick, CO 80504-6933 | 2006-07-31 |
| 1902375421 | Dayna L Mosley | Counselor | 5901 Majestic St, Frederick, CO 80504-6933 | 2018-11-14 |
| 1750817946 | Amanda Richardson | Counselor | 5901 Majestic St, Frederick, CO 80504-6933 | 2017-05-07 |
| 1740672526 | North Range Behavioral Health | Clinic/Center | 5901 Majestic St, Frederick, CO 80504-6933 | 2015-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776620 | Cinde S Yoho | Social Worker | 9485 County Road 15, Firestone, CO 80504 | 2018-10-19 |
| 1427544881 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 310 Lashley St Ste 109, Longmont, CO 80504 | 2018-07-09 |
| 1962913962 | Melissa Frick | Counselor | 10184 E I-25 Frontage Rd, Firestone, CO 80504 | 2017-10-17 |
| 1558757260 | Firestone Pediatric Dentistry and Orthodontics | Dentist | 8301 Colorado Blvd, Suite 200, Firestone, CO 80504 | 2015-04-09 |
| 1912392671 | Ashley Lerwick | Speech-Language Pathologist | 11169 Interstate I25 Frontage Rd, Firestone, CO 80504 | 2015-03-31 |
| 1780077685 | Roger Leon Jorgensen | Ophthalmology | 14222 N 95 Si, Longmont, CO 80504 | 2015-03-17 |
| 1982942090 | Carrie Rose Fitzekam | Technician | 712 Tanagers Circle, Longmont, CO 80504 | 2013-01-24 |
| 1003166976 | Jennifer Lynn Mcnerney | Speech-Language Pathologist | 8197 Miller Dr, Frederick, CO 80504 | 2012-09-18 |
| 1821343450 | Allison Luellen | Physician Assistant | 8350 Colorado Blvd, Suite 160, Firestone, CO 80504 | 2012-07-19 |
| 1609132109 | Abby Elizabeth Bohall | Speech-Language Pathologist | 5132 Mt Buchanan Ave, Frederick, CO 80504 | 2012-04-09 |
| Find all providers in zip 80504 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730277435 | Maryland Treatment Centers, Inc. | Clinic/Center | 174 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4571 | 2006-10-10 |
| 1306458732 | Concerted Care Group Frederick LLC | Clinic/Center | 300b Scholls Ln, Frederick, MD 21701-6380 | 2020-08-18 |
| 1538657630 | Brook Lane Behavioral Services, Inc. | Clinic/Center | 5301 Buckeystown Pike, Frederick, MD 21704-8370 | 2018-04-25 |
| 1952898306 | Associated Catholic Charities, Inc. | Clinic/Center | 300 W 9th St, Frederick, MD 21701-4541 | 2018-04-20 |
| 1780107631 | Concerted Care Group Frederick LLC | Clinic/Center | 300 Scholls Ln, Frederick, MD 21701-6380 | 2017-07-24 |
| 1215395298 | Terry Jane Austin | Clinic/Center | 27 W 7th St, Frederick, MD 21701-4689 | 2016-02-04 |
| 1619385630 | Main Place Addiction Treatment Center LLC. | Clinic/Center | 915 Toll House Ave, Frederick, MD 21701-5930 | 2014-07-23 |
| 1992027726 | Serenity Treatment Center, Inc. | Clinic/Center | 420 E Patrick St, Frederick, MD 21701-5658 | 2010-02-21 |
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|---|---|---|---|---|
| 1952901258 | Midwestern Colorado Mental Health Center | Clinic/Center | 238 E. Colorado Ave., Suite 9, Telluride, CO 81435 | 2020-10-27 |
| 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.