CENTENNIAL MENTAL HEALTH CENTER, INC. (NPI# 1376062976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376062976 |
Entity Type | Organization |
Organization Name | CENTENNIAL MENTAL HEALTH CENTER, INC. |
Practice Address |
650 E. Walnut Unit C Elizabeth CO 80107 |
Mailing Address |
211 W Main St Sterling CO 80751-3168 |
Practice Telephone | 3036464519 |
Practice Fax Number | 3036464451 |
Mailing Telephone | 9705224549 |
Mailing Fax Number | 9705226898 |
Enumeration Date | 2017-09-14 |
Last Update Date | 2017-09-14 |
Authorized Official Name | ELIZABETH L HICKMAN (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9705224549 |
Authorized Official Credential | PHD |
Is Organization Subpart | Y |
Parent Organization Name | CENTENNIAL MENTAL HEALTH CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1145-04 | CO | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952936270 | Centennial Mental Health Center, Inc. | Clinic/Center | 80 E 1st Street, Suite 2, Cheyenne Wells, CO 80810-0000 | 2020-03-06 |
1235658709 | Centennial Mental Health Center, Inc. | Clinic/Center | 871 E 1st St, Akron, CO 80720-1705 | 2017-09-15 |
1780103259 | Centennial Mental Health Center, Inc. | Clinic/Center | 1291 Circle Dr, Burlington, CO 80807-1245 | 2017-09-15 |
1851810337 | Centennial Mental Health Center, Inc. | Clinic/Center | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2017-09-15 |
1932628419 | Centennial Mental Health Center, Inc. | Clinic/Center | 365 W 2nd St, Wray, CO 80758-1009 | 2017-09-15 |
1609395177 | Centennial Mental Health Center, Inc. | Clinic/Center | 211 W Main St, Sterling, CO 80751-3168 | 2017-09-15 |
1588183065 | Centennial Mental Health Center, Inc. | Clinic/Center | 118 W 3rd St, Julesburg, CO 80737-1542 | 2017-09-15 |
1578082053 | Centennial Mental Health Center, Inc. | Clinic/Center | 215 S Ash St, Yuma, CO 80759-1903 | 2017-09-15 |
1215456793 | Centennial Mental Health Center, Inc. | Clinic/Center | 821 E Railroad Ave, Fort Morgan, CO 80701-3365 | 2017-09-15 |
1922527548 | Centennial Mental Health Center, Inc. | Clinic/Center | 606 Main Street, Limon, CO 80828 | 2017-09-14 |
Street Address |
650 E. WALNUT UNIT C |
City | ELIZABETH |
State | CO |
Zip Code | 80107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275835506 | Aaron T. Shea | Social Worker | 650 E. Walnut, Unit C, Elizabeth, CO 80107 | 2010-11-18 |
1770101297 | Canna O'carroll | Counselor | 650 E. Walnut, Elizabeth, CO 80107 | 2020-07-10 |
1356833800 | Kailien Renton | Behavior Technician | 650 E. Walnut, Unit C, Elizabeth, CO 80107 | 2018-05-31 |
1134646748 | Tamara Mcnay | Counselor | 650 E. Walnut, Unit C, Elizabeth, CO 80107 | 2017-08-24 |
1710413174 | Vicki Neer | Social Worker | 650 E. Walnut, Unit C, Elizabeth, CO 80701 | 2017-05-04 |
1083159628 | Deborah Bowers | Social Worker | 650 E. Walnut, Unit C, Elizabeth, CO 80107 | 2017-01-05 |
1932644622 | Dale Dennis | Social Worker | 650 E. Walnut, Unit C, Elizabeth, CO 80107 | 2017-01-04 |
1811448178 | Patricia Gonzales | Social Worker | 650 E. Walnut, Unit C, Elizabeth, CO 80107 | 2016-10-20 |
1760852057 | Jessica Porter | Social Worker | 650 E. Walnut, Elizabeth, CO 80107 | 2015-09-30 |
1073983268 | Sheila Robinson | Counselor | 650 E. Walnut, Elizabeth, CO 80107 | 2015-09-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215574413 | Healing Pines Recovery, LLC. | Substance Abuse Rehabilitation Facility | 5550 County Road 124, Elizabeth, CO 80107 | 2019-12-06 |
1083113146 | Integrative Counseling and Art Therapy | Clinic/Center | 133 E Grant St, Elizabeth, CO 80107 | 2018-02-05 |
1386161826 | Anastasia Romero | Social Worker | 650 E. Walnut Unit C, Elizabeth, CO 80107 | 2017-08-25 |
1659819605 | Goodman Young Pllc | Dentist | 796 E. Kiowa Ave., Suite H12, Elizabeth, CO 80107 | 2017-02-09 |
1912444001 | Kenneth Robertson | Social Worker | 650 East Walnit, Elizabeth, CO 80107 | 2017-01-26 |
1801204441 | Darnella L Archer | Counselor | 133 County Road 17, C2f, Elizabeth, CO 80107 | 2014-07-28 |
1598189367 | Margaret Ann Mckee | Counselor | 650 W. Walnut, Unit C, Elizabeth, CO 80107 | 2014-02-13 |
1164777660 | Alexis Thurlow | Counselor | 950 E. Walnut, Elizabeth, CO 80107 | 2012-07-20 |
1184979858 | John Duhamel | Counselor | 650 E. Walnut St, Elizabeth, CO 80107 | 2012-07-19 |
1043532013 | Robert Smith | Registered Nurse | 34052 Prairie Cr, Elizabeth, CO 80107 | 2010-02-18 |
Find all providers in zip 80107 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1770602187 | The Lennard Clinic, Inc | Clinic/Center | 850 Woodruff Ln, Elizabeth, NJ 07201-2022 | 2007-03-28 |
1750645990 | The Lennard Clinic, Inc. | Clinic/Center | 850 Woodruff Ln, Elizabeth, NJ 07201-2022 | 2012-07-03 |
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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 |
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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.