MT. ST. VINCENT HOME (NPI# 1770602799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770602799 |
| Entity Type | Organization |
| Organization Name | MT. ST. VINCENT HOME |
| Practice Address |
4159 Lowell Blvd Denver CO 80211-1658 |
| Practice Telephone | 3034587220 |
| Practice Fax Number | 3034777559 |
| Mailing Telephone | 3034587220 |
| Mailing Fax Number | 3034777559 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-02-01 |
| Authorized Official Name | MR. KIRK DAMON WARD (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3034587220 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 991248 | CO | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 94381330 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942479191 | Mt. St. Vincent Home | Residential Treatment Facility, Emotionally Disturbed Children | 4159 Lowell Blvd, Denver, CO 80211-1658 | 2008-02-21 |
| Street Address |
4159 LOWELL BLVD |
| City | DENVER |
| State | CO |
| Zip Code | 80211-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801900238 | Mount St. Vincent Home | Residential Treatment Facility, Emotionally Disturbed Children | 4159 Lowell Blvd, Denver, CO 80211-1658 | 2006-08-19 |
| 1356999064 | Elizabeth Lent | Social Worker | 4159 Lowell Blvd, Denver, CO 80211-1658 | 2019-08-27 |
| 1194283135 | Nichole Schreiner | Counselor | 4159 Lowell Blvd, Denver, CO 80211-1658 | 2019-03-08 |
| 1295203925 | Courtney Cespedes | Counselor | 4159 Lowell Blvd, Denver, CO 80211-1658 | 2018-11-12 |
| 1508367822 | Christopher Wojdak | Counselor | 4159 Lowell Blvd, Denver, CO 80211-1658 | 2018-02-22 |
| 1780193391 | Erica Rutherford | Social Worker | 4159 Lowell Blvd, Denver, CO 80211-1658 | 2017-09-26 |
| 1851819395 | Erica Donica | Social Worker | 4159 Lowell Blvd, Denver, CO 80211-1658 | 2017-09-05 |
| 1235582867 | Melissa Autry | Counselor | 4159 Lowell Blvd, Denver, CO 80211-1658 | 2016-07-19 |
| 1407210354 | Raquel Schneider | Counselor | 4159 Lowell Blvd, Denver, CO 80211-1658 | 2016-04-07 |
| 1992168686 | Cascading Hope Pllc | Counselor | 4159 Lowell Blvd, Denver, CO 80211-1658 | 2016-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818869 | Naomi Victoria Akwei-esterline | Community/Behavioral Health | 2640 W 26th Ave, Suite 217, Denver, CO 80211 | 2020-07-16 |
| 1073095436 | Kelsey Briana Vincent | Marriage & Family Therapist | 2855 Speer Blvd, Denver, CO 80211 | 2018-09-02 |
| 1669968806 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2490 W 26th Ave Ste 200, Denver, CO 80211 | 2018-07-10 |
| 1578061420 | Colorado Foot and Ankle Research Institute | Podiatrist | 3438 Federal Blvd, Denver, CO 80211 | 2018-01-25 |
| 1437668670 | Timothy Daniel Conwell | Chiropractor | 4444 Umatilla St., Denver, CO 80211 | 2017-09-20 |
| 1609390632 | 38th Modern Dental Practice, LLC | Dentist | 3550 W 38th Ave., #5, Denver, CO 80211 | 2017-08-01 |
| 1063951473 | Samuel Hawkins | Counselor | 2560 W. 29th, Denver, CO 80211 | 2017-02-17 |
| 1972045011 | Margaret Reynolds | Counselor | 2727 Bryant St Ste 510, Denver, CO 80211 | 2016-11-07 |
| 1508312141 | Kim Johnson | Counselor | 2460 W 26th Ave Denver, Denver, CO 80211 | 2016-09-01 |
| 1154877470 | Sara Galan | Counselor | 2405 W. 26th Ave, Denver, CO 80211 | 2016-08-28 |
| Find all providers in zip 80211 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225263593 | Third Way Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 9100 E Lowry Blvd, Lowry Sprout, Denver, CO 80230-6935 | 2009-05-15 |
| 1841473915 | Third Way Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 9100 E Lowry Blvd., Denver, CO 80230-6935 | 2007-12-12 |
| 1326269390 | Court House Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3640 W Princeton Cir, Denver, CO 80236-3109 | 2007-05-01 |
| 1356471718 | Friends of Children | Residential Treatment Facility, Emotionally Disturbed Children | 2950 Tennyson St, Denver, CO 80212 | 2007-03-06 |
| 1114066859 | Third Way Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1295 York St, Denver, CO 80206-3008 | 2007-02-06 |
| 1184763864 | Third Way Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1133 Lincoln St, Denver, CO 80203-2110 | 2007-02-06 |
| 1992844625 | Third Way Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1735 Pontiac St, Denver, CO 80220-1831 | 2007-02-06 |
| 1801900238 | Mount St. Vincent Home | Residential Treatment Facility, Emotionally Disturbed Children | 4159 Lowell Blvd, Denver, CO 80211-1658 | 2006-08-19 |
| 1467469312 | Denver Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 1501 Albion St, Denver, CO 80220-1028 | 2006-08-02 |
| 1821479122 | Individual Provider | Residential Treatment Facility, Emotionally Disturbed Children | 4159 Lowell Blvd, Denver, CO 80211-1658 | 2015-06-11 |
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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.