SOUTHEAST MENTAL HEALTH SERVICES (NPI# 1558903708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558903708 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST MENTAL HEALTH SERVICES |
| Practice Address |
302 Barnes Ave La Junta CO 81050-1329 |
| Mailing Address |
711 Barnes Ave La Junta CO 81050-2138 |
| Practice Telephone | 7193845446 |
| Practice Fax Number | 7193845672 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | CAROL A ARAGON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7193835408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280907 | Southeast Mental Health Services | Clinic/Center | 910 W 3rd St, La Junta, CO 81050-1315 | 2019-11-19 |
| 1033752928 | Southeast Mental Health Services | Clinic/Center | 613 Barnes Ave, La Junta, CO 81050-2136 | 2019-10-23 |
| 1699317867 | Southeast Mental Health Services | Clinic/Center | 963 Elm Ave, Rocky Ford, CO 81067-1335 | 2019-10-09 |
| 1437791605 | Southeast Mental Health Services | Clinic/Center | 113 W Elm St, Lamar, CO 81052-2701 | 2019-10-09 |
| 1801438056 | Southeast Mental Health Services | Clinic/Center | 117 W Elm St, Lamar, CO 81052-2701 | 2019-10-09 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1184265985 | Southeast Mental Health Services | Clinic/Center | 101 E Lowell St, Eads, CO 81036-9683 | 2019-10-02 |
| 1417945254 | Southeast Mental Health Services | Clinic/Center | 711 Barnes Ave, La Junta, CO 81050-2138 | 2005-10-06 |
| 1295366177 | Southeast Mental Health Services | Clinic/Center | 711 Barnes Ave, La Junta, CO 81050-2138 | 2020-01-30 |
| 1942843834 | Southeast Mental Health Services | Clinic/Center | 214 Ash St, La Junta, CO 81050-9598 | 2019-10-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | SOUTHEAST MENTAL HEALTH SERVICES | 711 Barnes Ave, La Junta, CO 81050 |
| Street Address |
302 BARNES AVE |
| City | LA JUNTA |
| State | CO |
| Zip Code | 81050-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194837484 | Single Point Services Inc | Counselor | 302 Barnes Ave, La Junta, CO 81050 | 2006-08-31 |
| 1063660686 | Emily Suzanna Lucero-deleon | Counselor | 302 Barnes Ave, La Junta, CO 81050-1329 | 2008-09-08 |
| 1023265212 | Janet L. Hawf | Counselor | 302 Barnes Ave, La Junta, CO 81050-1329 | 2008-08-19 |
| 1821245010 | Ron R. Hawf | Counselor | 302 Barnes Ave, La Junta, CO 81050-1329 | 2008-08-19 |
| 1962531707 | Single Point Services, Inc. | Community/Behavioral Health | 302 Barnes Ave, La Junta, CO 81050-1329 | 2007-03-05 |
| 1962592253 | Theresa Marie Bauer | Counselor | 302 Barnes Ave, La Junta, CO 81050-1329 | 2006-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2315 San Juan Avenue, La Junta, CO 81050 | 2020-04-22 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1164945127 | Susan Ann Workman | Clinical Nurse Specialist | 13 West Third Street, Room 111, La Junta, CO 81050 | 2017-07-21 |
| 1952774465 | Ryan T Anderson Ddc PC | Clinic/Center | 13 E 4th St., La Junta, CO 81050 | 2015-11-05 |
| 1083086524 | Ryan Taylor Anderson | Dentist | 13 East 4th Street, La Junta, CO 81050 | 2015-10-23 |
| 1902287329 | Shanna Kay Riley | Case Manager/Care Coordinator | 711 Barnes Ave., La Junta, CO 81050 | 2015-06-11 |
| 1548668593 | Joseph Wayne Lee | Licensed Practical Nurse | 1203 Holt Ln, Lajunta, CO 81050 | 2014-12-08 |
| 1730506809 | Down To Earth Dentistry, LLC. | Dentist | 17 W. 4th St., La Junta, CO 81050 | 2014-03-26 |
| 1154668275 | Arkansas Valley Hearing Center, Inc | Hearing Aid Equipment | 408 West 3rd St, La Junta, CO 81050 | 2013-01-09 |
| 1710223698 | Timothy Eugene Kelley | Counselor | 313 West Third Street, Suite 204, La Junta, CO 81050 | 2012-12-20 |
| Find all providers in zip 81050 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280907 | Southeast Mental Health Services | Clinic/Center | 910 W 3rd St, La Junta, CO 81050-1315 | 2019-11-19 |
| 1033752928 | Southeast Mental Health Services | Clinic/Center | 613 Barnes Ave, La Junta, CO 81050-2136 | 2019-10-23 |
| 1417945254 | Southeast Mental Health Services | Clinic/Center | 711 Barnes Ave, La Junta, CO 81050-2138 | 2005-10-06 |
| 1942843834 | Southeast Mental Health Services | Clinic/Center | 214 Ash St, La Junta, CO 81050-9598 | 2019-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225336 | Wellcova Health Services | Clinic/Center | 90 Madison St Ste 703, Denver, CO 80206-5416 | 2020-11-04 |
| 1053911354 | Midwestern Colorado Mental Health Center | Clinic/Center | 214 6th St., Suite 4, Crested Butte, CO 81224 | 2020-10-27 |
| 1780284083 | Midwestern Colorado Mental Health Center | Clinic/Center | 238 E. Colorado Ave, Suite 9, Telluride, CO 81435 | 2020-10-27 |
| 1023625621 | Spanish Clinic LLC | Clinic/Center | 1400 Dayton St, Aurora, CO 80010-3233 | 2020-09-28 |
| 1477160083 | Spanish Clinic LLC | Clinic/Center | 12445 E 39th Ave Unit 207, Denver, CO 80239-3454 | 2020-09-28 |
| 1457966228 | Community Reach Center, Inc | Clinic/Center | 11275 Highline Dr, Northglenn, CO 80233-3076 | 2020-09-09 |
| 1437763968 | Arapahoe Mental Health Center, Inc | Clinic/Center | 9235 Crown Crest Blvd Ste 125, Parker, CO 80138-8880 | 2020-09-02 |
| 1528671880 | Natural Embodiment LLC | Clinic/Center | 640 Arapahoe Ave Apt 6, Boulder, CO 80302-5920 | 2020-08-26 |
| 1457963514 | Summitstone Health Partners | Clinic/Center | 810 E 10th St, Loveland, CO 80537-4946 | 2020-08-20 |
| 1558970889 | Kelley Dyer Lcsw Inc. | Clinic/Center | 4793 N Splendid Cir, Colorado Springs, CO 80917-1681 | 2020-07-22 |
| 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.