ELIZABETH O'BRODO (NPI# 1902298284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902298284 |
| Entity Type | Individual |
| Full Name | ELIZABETH O'BRODO |
| Credential | LCSW |
| Practice Address |
2950 Tennyson St Denver CO 80212-3029 |
| Mailing Address |
2700 Canossa Dr Broomfield CO 80020-3811 |
| Practice Telephone | 7208553448 |
| Mailing Telephone | 4432570435 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1041C0700X | CO | Residential Treatment Facilities |
| Street Address |
2950 TENNYSON ST |
| City | DENVER |
| State | CO |
| Zip Code | 80212-3029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356471718 | Friends of Children | Residential Treatment Facility, Emotionally Disturbed Children | 2950 Tennyson St, Denver, CO 80212 | 2007-03-06 |
| 1750906442 | Kendall J Rames | Counselor | 2950 Tennyson St, Denver, CO 80212-3029 | 2020-06-09 |
| 1952960767 | Rebecca Machost | Social Worker | 2950 Tennyson St, Denver, CO 80212-3029 | 2019-06-06 |
| 1942868583 | Andrea Rojas | Counselor | 2950 Tennyson St, Denver, CO 80212-3029 | 2019-05-29 |
| 1437716628 | Hannah Hoekstra | Counselor | 2950 Tennyson St, Denver, CO 80212-3029 | 2019-05-22 |
| 1316408800 | Jennifer Fischer | Counselor | 2950 Tennyson St, Denver, CO 80212-3029 | 2019-03-27 |
| 1194283648 | Lisa M Harrison | Social Worker | 2950 Tennyson St, Denver, CO 80212-3029 | 2019-03-04 |
| 1992260483 | Brandy White | Counselor | 2950 Tennyson St, Denver, CO 80212-3029 | 2019-02-08 |
| 1316411903 | Keith Harrison Post | Counselor | 2950 Tennyson St, Denver, CO 80212-3029 | 2019-01-16 |
| 1730658444 | Stephanie Lynne Honaker | Social Worker | 2950 Tennyson St, Denver, CO 80212-3029 | 2018-11-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407382 | Mary Emma Fawcett | Counselor | Tennyson Center for Children, 2950 Tennyson St, Denver, CO 80212 | 2020-08-10 |
| 1205391422 | Carly Boeselt | Counselor | 5226 Tennyson St, Denver, CO 80212 | 2019-02-01 |
| 1639656176 | Amanda Jane Miller | Massage Therapist | 4433 West 29th Avenue, Suite 203, Denver, CO 80212 | 2018-07-27 |
| 1821587908 | Jolene Lyn Nawrocki | Nurse Practitioner | 5790 W 39th Place, Wheat Ridge, CO 80212 | 2018-05-04 |
| 1679078810 | Rachel Holder | Social Worker | 2905 Tennyson Street, Denver, CO 80212 | 2018-03-29 |
| 1497260723 | Timothy Mullins | Marriage & Family Therapist | 5100 Osceola St, Denver, CA 80212 | 2017-12-08 |
| 1619402757 | Alexis Lowe | Marriage & Family Therapist | 2700 Perry St, Denver, CO 80212 | 2017-04-26 |
| 1578962858 | Brandon Visscher | Dentist | 4277 Tennyson St Ste 102, Denver, CO 80212 | 2014-08-22 |
| 1558778712 | Kerri Mckee | Physician Assistant | 4500 W. 38th Ave, Suite 220, Denver, CO 80212 | 2014-07-18 |
| 1366889859 | John Fricas Sander | Counselor | 4150 Quitman Street, Denver, CO 80212 | 2013-05-24 |
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| 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.