COLLABORATIVE SERVICE FOR CHANGE PC (NPI# 1902350788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902350788 |
| Entity Type | Organization |
| Organization Name | COLLABORATIVE SERVICE FOR CHANGE PC |
| Practice Address |
2480 W 26th Ave Suite 130b Denver CO 80211-5309 |
| Practice Telephone | 3034330188 |
| Practice Fax Number | 3034336145 |
| Mailing Telephone | 3034330188 |
| Mailing Fax Number | 3034336145 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |
| Authorized Official Name | JEFF RICHARD KISICKI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3034330188 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 992298 | CO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 42427851 | 05 |
| Street Address |
2480 W 26TH AVE SUITE 130B |
| City | DENVER |
| State | CO |
| Zip Code | 80211-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023073467 | Usama Ghazi | Physical Medicine & Rehabilitation | 2480 W 26th Ave, Bldg B Ste 90, Denver, CO 80211-5309 | 2006-04-19 |
| 1285001545 | Rocky Mountain Rehabilitation Associates, PC | Physical Medicine & Rehabilitation | 2480 W 26th Ave, Suite 90 B, Denver, CO 80211-5309 | 2015-08-21 |
| 1205130275 | Bayada Home Health Care, Inc. | Home Health | 2480 W 26th Ave, Suite 26-b, Denver, CO 80211-5309 | 2011-01-05 |
| 1376699959 | Ethan Swift | Psychiatry & Neurology | 2480 W 26th Ave, Suite 200b, Denver, CO 80211-5309 | 2007-01-26 |
| 1053487009 | Cynthia Ann Johnsrud | Psychologist | 2480 W 26th Ave, Ste 10b, Denver, CO 80211-5309 | 2006-11-28 |
| 1114983962 | George V Schakaraschwili | Physical Medicine & Rehabilitation | 2480 W 26th Ave, Bldg B Suite 90, Denver, CO 80211-5309 | 2006-04-21 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407687 | Rrk Enterprise | Community/Behavioral Health | 4300 Kalamath St, Denver, CO 80211-2417 | 2020-11-08 |
| 1831797562 | Cairn Counseling | Community/Behavioral Health | 1475 W Dakota Ave, Denver, CO 80223-2008 | 2020-10-14 |
| 1558977272 | Chrysalis Continuing Care, LLC | Community/Behavioral Health | 3254 Larimer St, Denver, CO 80205-2314 | 2020-09-17 |
| 1326651621 | Kuumba Therapy, LLC | Community/Behavioral Health | 2376 Central Park Blvd, Ste 100, Denver, CO 80238 | 2020-08-26 |
| 1942818869 | Naomi Victoria Akwei-esterline | Community/Behavioral Health | 2640 W 26th Ave, Suite 217, Denver, CO 80211 | 2020-07-16 |
| 1295367910 | Tribe Wellness, LLC | Community/Behavioral Health | 1633 Fillmore St Ste 360, Denver, CO 80206-1586 | 2020-02-11 |
| 1659832756 | Spragg Consulting, L.L.C. | Community/Behavioral Health | 1660 S Albion St Ste 725, Denver, CO 80222-4045 | 2019-03-29 |
| 1437613155 | Seeds of Hope Nutrition | Community/Behavioral Health | 1315 E 37th Ave, Denver, CO 80205-3303 | 2019-01-27 |
| 1902372378 | Mile High Continuing Care LLC | Community/Behavioral Health | 1633 Fillmore St Ste Gl5, Denver, CO 80206-1547 | 2018-10-23 |
| 1013483304 | Rocky Mountain Applied Behavior Analysts, LLC | Community/Behavioral Health | 7591 E Technology Way Apt 301, Denver, CO 80237-3066 | 2018-10-15 |
| Find all providers in DENVER | ||||
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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.