CENTENNIAL MENTAL HEALTH CENTER, INC. (NPI# 1609395177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609395177 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL MENTAL HEALTH CENTER, INC. |
| Practice Address |
211 W Main St Sterling CO 80751-3168 |
| Practice Telephone | (970) 522-4392 |
| Practice Fax Number | 9705222217 |
| Mailing Telephone | 9705224392 |
| Mailing Fax Number | 9705222217 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |
| 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 |
1145-00 | 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 |
| 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 |
| 1376062976 | Centennial Mental Health Center, Inc. | Clinic/Center | 650 E. Walnut, Unit C, Elizabeth, CO 80107 | 2017-09-14 |
| 1922527548 | Centennial Mental Health Center, Inc. | Clinic/Center | 606 Main Street, Limon, CO 80828 | 2017-09-14 |
| Street Address |
211 W MAIN ST |
| City | STERLING |
| State | CO |
| Zip Code | 80751-3168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174165138 | Brittney Lumpkin | Counselor | 211 W Main St, Sterling, CO 80751-3168 | 2019-10-11 |
| 1942865639 | Michele Marostica | Counselor | 211 W Main St, Sterling, CO 80751-3168 | 2019-05-08 |
| 1508338625 | Gina Ashmore | Counselor | 211 W Main St, Sterling, CO 80751-3168 | 2018-12-31 |
| 1740751585 | Jennifer Hadley | Behavior Technician | 211 W Main St, Sterling, CO 80751-3168 | 2018-12-05 |
| 1457826430 | Cody Jenkins | Behavior Technician | 211 W Main St, Sterling, CO 80751-3168 | 2018-10-05 |
| 1619452984 | Camron Morton | Behavior Technician | 211 W Main St, Sterling, CO 80751-3168 | 2018-10-02 |
| 1639654916 | Francesca Nelson | Behavior Technician | 211 W Main St, Sterling, CO 80751-3168 | 2018-10-02 |
| 1790261741 | Timothy Murray | Social Worker | 211 W Main St, Sterling, CO 80751-3168 | 2018-07-12 |
| 1881170801 | Bonita Deering | Counselor | 211 W Main St, Sterling, CO 80751-3168 | 2018-07-12 |
| 1679059786 | Kirstyn Fritzler | Social Worker | 211 W Main St, Sterling, CO 80751-3168 | 2018-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
| 1477018786 | Elizabeth Broadwell | Nurse Practitioner | 12101 Co-61, Sterling, CO 80751 | 2019-01-31 |
| 1396102794 | Jamie Soucie | Counselor | 330 W. Maint St. Ste B, Sterling, CO 80751 | 2016-01-15 |
| 1023487469 | Tappy Health & Wellness, Inc. | Physical Therapist | 309 S Railway St, Sterling, CO 80751 | 2015-09-16 |
| 1033465257 | Patricia Carol Smith | Physical Therapist | 100 Broadway St. Suite 24, Sterling, CO 80751 | 2012-07-25 |
| 1770855900 | Total Renal Care Inc | Clinic/Center | 603 Holly Dr, Sterling, CO 80751 | 2012-02-03 |
| 1609172782 | Keyna I Schlup | Family Medicine | 428 S 2nd St, Sterling, CO 80751 | 2011-02-07 |
| 1871811604 | Alexis Balstad | Obstetrics & Gynecology | 1405 S 8th Ave Suite 105, Sterling, CO 80751 | 2010-05-04 |
| 1770705659 | Donna Bishop Davis | Marriage & Family Therapist | 228 South Third Street, Suite 1, Sterling, CO 80751 | 2007-05-02 |
| 1659406338 | Kimberly Ann Suter | Dentist | 617 W Main Street, Sterling, CO 80751 | 2007-02-22 |
| Find all providers in zip 80751 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
| 1417166034 | Lutheran Social Services of Illinois | Clinic/Center | 1901 1st Ave, Sterling, IL 61081-1203 | 2007-05-21 |
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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 |
| 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 |
| 1487215331 | Counseling Center of The Rockies, LLC | Clinic/Center | 3489 W 72nd Ave Ste 105, Westminster, CO 80030-5314 | 2019-06-21 |
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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.