JEFFERSON CENTER FOR MENTAL HEALTH (NPI# 1265674451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265674451 |
Entity Type | Organization |
Organization Name | JEFFERSON CENTER FOR MENTAL HEALTH |
Practice Address |
9485 W Colfax Ave Lakewood CO 80215-3918 |
Mailing Address |
4851 Independence St Wheat Ridge CO 80033-6715 |
Practice Telephone | 3034325012 |
Practice Fax Number | 3034325073 |
Mailing Telephone | 3034325012 |
Mailing Fax Number | 3034325073 |
Enumeration Date | 2009-04-02 |
Last Update Date | 2009-04-02 |
Authorized Official Name | DAVID A GOFF (CFO) |
Authorized Official Telephone | 3034325164 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
150413 | CO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 31150845 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740586189 | Jefferson Center for Mental Health | Counselor | 1531 Colorado Blvd, Idaho Springs, CO 80452 | 2011-02-02 |
1154627503 | Jefferson Center for Mental Health | Counselor | 28577 Buffalo Road, Ste 240, Evergreen, CO 80439 | 2011-02-02 |
1720399108 | Jefferson Center for Mental Health | Community/Behavioral Health | 9485 Colfax, Lakewood, CO 80215 | 2010-06-30 |
1861574642 | Jefferson Center for Mental Health | Pharmacy | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2006-10-20 |
1013373679 | Jefferson Center for Mental Health | Pharmacy | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2016-01-12 |
1144600834 | Jefferson Center for Mental Health | Community/Behavioral Health | 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 | 2015-06-08 |
1225429087 | Jefferson Center for Mental Health | Assisted Living Facility | 12751 W 56th Pl, Arvada, CO 80002-1327 | 2015-02-13 |
1225434004 | Jefferson Center for Mental Health | Community Based Residential Treatment Facility, Mental Illness | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2014-11-06 |
1568768273 | Jefferson Center for Mental Health | Counselor | 9200 W Cross Dr, Ste 421, Littleton, CO 80123-2239 | 2011-01-28 |
1902048192 | Jefferson Center for Mental Health | Clinic/Center | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2009-04-02 |
Street Address |
9485 W COLFAX AVE |
City | LAKEWOOD |
State | CO |
Zip Code | 80215-3918 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861574642 | Jefferson Center for Mental Health | Pharmacy | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2006-10-20 |
1407367337 | Kristi Lynne Snyder | Peer Specialist | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2017-10-18 |
1144758525 | Kurtt Walton | Nurse Practitioner | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2017-05-30 |
1285162065 | Danielle Ann Spratt | Counselor | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2017-05-24 |
1194262691 | Taylor Oliivia Haag | Counselor | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2017-01-23 |
1346784345 | Sandra Paolini | Pharmacist | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2016-12-09 |
1285187153 | Erin Isabel Dooley | Counselor | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2016-07-27 |
1982055802 | Emily Marie Pearl Adams | Counselor | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2016-06-22 |
1821459702 | Dana Gallagher | Counselor | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2016-03-18 |
1558720896 | Virginia Low | Counselor | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2016-02-15 |
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1679199566 | Alta Vista Center for Autism | Speech-Language Pathologist | 2001 Hoyt Street, Lakewood, CO 80215 | 2020-06-17 |
1871154419 | Ahc of Lakewood, LLC | Skilled Nursing Facility | 1565 Pierson Street, Lakewood, CO 80215 | 2019-06-25 |
1235646209 | Ashley Wiersma | Social Worker | 9485 W. Colfax Ave, Lakewood, CO 80215 | 2017-12-29 |
1619480563 | Amy Christine Ladebue | Counselor | 2596 Moore St, Lakewood, CO 80215 | 2017-11-14 |
1407374408 | Carly Young | Physician Assistant | 11171 W 17th Ave, Apt 303, Lakewood, CO 80215 | 2017-08-30 |
1356876700 | Our Family Care Home Assisted Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1169 Johnson Street, Lakewood, CO 80215 | 2017-04-24 |
1194263251 | Daniela Rosenberg | Student in an Organized Health Care Education/Training Program | 9845 W. Colfax Avenue, Jefferson Center for Mental Health, Lakewood, CO 80215 | 2017-02-08 |
1033596747 | Autumn Grove | Physical Therapist | 11185 W. 6th Avenue, Lakewood, CO 80215 | 2015-05-01 |
1649690264 | Neil George Norton | Dentist | 9990 W. 26th Ave, Lakewood, CO 80215 | 2014-04-22 |
1366873820 | Whitney Anne Post | Counselor | 1439 Estes St., Lakewood, CO 80215 | 2013-12-10 |
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Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1306097654 | Jefferson Center for Mental Health | Clinic/Center | 9808 W Cedar Ave, Lakewood, CO 80226-1023 | 2008-10-06 |
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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.