MENTAL HEALTH CENTER OF BOULDER COUNTY (NPI# 1740703586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740703586 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH CENTER OF BOULDER COUNTY |
| Other Organization Name | MENTAL HEALTH PARTNERS |
| Practice Address |
1333 Iris Ave Boulder CO 80304-2226 |
| Mailing Address |
1455 Dixon Ave Lafayette CO 80026-8879 |
| Practice Telephone | 3034438500 |
| Mailing Telephone | 3034438500 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | JOANIE GERGEN (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 3034438500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1052-00 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | BHO | 04988085 | 01 |
| CO | OFFICE OF BEHAVIORAL HEALTH | 1052-03 | 01 |
| CO | OFFICE OF BEHAVIORAL HEALTH | 1052-04 | 01 |
| CO | OFFICE OF BEHAVIORAL HEALTH | 1052-01 | 01 |
| CO | 04988085 | 05 | |
| CO | OFFICE OF BEHAVIORAL HEALTH | 1052-00 | 01 |
| Other Name | Type Code |
|---|---|
| Mental Health Partners | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942420559 | Mental Health Center of Boulder County | Community/Behavioral Health | 899 Us Highway 287 Ste 300, Broomfield, CO 80020-7319 | 2007-04-26 |
| 1760544373 | Mental Health Center of Boulder County | Pharmacy | 3180 Airport Rd, Boulder, CO 80301-2208 | 2006-12-14 |
| 1114093010 | Mental Health Center of Boulder County | Community/Behavioral Health | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2006-11-24 |
| 1245693829 | Mental Health Center of Boulder County | Counselor | 3470 Broadway St, Boulder, CO 80304-1824 | 2016-04-01 |
| 1760690648 | Mental Health Center of Boulder County | Community Based Residential Treatment Facility, Mental Illness | 1333 Iris Ave, Boulder, CO 80304-2226 | 2007-05-21 |
| 1518080449 | Mental Health Center of Boulder County | Psychiatric Residential Treatment Facility | 2833 Broadway St, Boulder, CO 80304-3544 | 2007-04-07 |
| 1184774135 | Mental Health Center of Boulder County | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2007-01-11 |
| 1639229586 | Mental Health Center of Boulder County | Psychiatric Hospital | 834 S Sherman St, Longmont, CO 80501-6323 | 2007-01-11 |
| 1083762728 | Mental Health Center of Boulder County | Community Based Residential Treatment Facility, Mental Illness | 3100 Bucknell Ct, Boulder, CO 80305-3465 | 2007-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MENTAL HEALTH CENTER OF BOULDER COUNTY, INC. | 1455 Dixon Avenue, Suite 300, Lafayette, CO 80026 |
| Street Address |
1333 IRIS AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606521 | Karen Breunig Hine | Nurse Practitioner | 1333 Iris Ave, Boulder, CO 80304-2226 | 2005-08-12 |
| 1194209106 | Philippa Tucker | Student in an Organized Health Care Education/Training Program | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-09-17 |
| 1942781174 | Victoria Abbey | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-08-26 |
| 1669966768 | Natalie Lamolinara | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-06-21 |
| 1285126854 | Jennifer Egloff | Social Worker | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-05-30 |
| 1790276624 | Johanna B Grube | Student in an Organized Health Care Education/Training Program | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-05-26 |
| 1578053930 | Leane Marie Vasquez | Peer Specialist | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-05-11 |
| 1730678749 | Jennifer Cullom | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-05-04 |
| 1366931735 | Amanda Cantu | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-05-01 |
| 1679060545 | Purnima Jagtap | Social Worker | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-04-17 |
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|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
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| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462623 | Realize Recovery LLC | Clinic/Center | 3775 Iris Ave Ste 6, Boulder, CO 80301-2043 | 2019-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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.