CENTENNIAL MENTAL HEALTH CENTER, INC. (NPI# 1922527548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922527548 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL MENTAL HEALTH CENTER, INC. |
| Practice Address |
606 Main Street Limon CO 80828 |
| Mailing Address |
211 W Main St Sterling CO 80751-3168 |
| Practice Telephone | 7197752313 |
| Practice Fax Number | 7197752315 |
| Mailing Telephone | 9705224549 |
| Mailing Fax Number | 9705226898 |
| Enumeration Date | 2017-09-14 |
| 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 |
1145-08 | 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 |
| 1609395177 | Centennial Mental Health Center, Inc. | Clinic/Center | 211 W Main St, Sterling, CO 80751-3168 | 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 |
| Street Address |
606 MAIN STREET |
| City | LIMON |
| State | CO |
| Zip Code | 80828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447748082 | Kimberly Arredondo | Behavior Technician | 606 Main Street, Limon, CO 80828 | 2018-04-30 |
| 1669923710 | Richard Goines | Social Worker | 606 Main Street, Limon, CO 80828 | 2016-10-24 |
| 1992153027 | Mikel Atwood | Social Worker | 606 Main Street, Limon, CO 80828 | 2016-05-31 |
| 1992109961 | Juliet Lundy | Social Worker | 606 Main Street, Limon, CO 80828 | 2014-10-20 |
| 1548683493 | Theresa London | Social Worker | 606 Main Street, Limon, CO 80828 | 2014-01-29 |
| 1215359799 | James Day | Social Worker | 606 Main Street, Limon, CO 80828 | 2014-01-17 |
| 1659700748 | Milynne Rasgo | Social Worker | 606 Main Street, Limon, CO 80828 | 2013-11-08 |
| 1013157346 | Centennial Mental Health Center | Community/Behavioral Health | 606 Main Street, Limon, CO 80828 | 2009-02-26 |
| 1174763817 | Robert Robertson | Counselor | 606 Main Street, Limon, CO 80828 | 2009-02-20 |
| 1245407816 | Patricia Irene Thompson | Counselor | 606 Main Street, Limon, CO 80828 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485131 | Lincoln Community Hospital Limon Family Practice | Family Medicine | 2110 6th Street, Limon, CO 80828 | 2019-12-26 |
| 1639538234 | Shelby Linnebur | Student in an Organized Health Care Education/Training Program | 555 F Ave, Limon, CO 80828 | 2016-02-11 |
| 1568831642 | Honest Oak LLC | Durable Medical Equipment & Medical Supplies | 333 M Ave, #100, Limon, CO 80828 | 2015-09-18 |
| 1083039747 | Eunoia | Durable Medical Equipment & Medical Supplies | 355 D Avenue, Limon, CO 80828 | 2014-03-04 |
| 1174950216 | Branon D Johnson Dds PC | Dentist | 170 E. Avenue, Limon, CO 80828 | 2013-10-03 |
| 1447682489 | Richard Carroll | Social Worker | 606 Main St., Limon, CO 80828 | 2013-08-01 |
| 1720421043 | Nicole Whitney Hood | Dentist | 170 E Ave., Box 309, Limon, CO 80828 | 2013-04-17 |
| 1972871812 | Thrive Healthcare LLC | Durable Medical Equipment & Medical Supplies | 250 E Avenue, Limon, CO 80828 | 2011-12-07 |
| 1881980472 | Susan Ferree | Pharmacist | 333 M. Avenue, Limon, CO 80828 | 2011-06-22 |
| 1891904348 | Rural Rest Homes LLC | Skilled Nursing Facility | 1750 Circle Lane, Limon, CO 80828 | 2007-05-22 |
| Find all providers in zip 80828 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| 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 |
| 1003462623 | Realize Recovery LLC | Clinic/Center | 3775 Iris Ave Ste 6, Boulder, CO 80301-2043 | 2019-08-11 |
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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.