THE MOUNTAIN STAR CENTER (NPI# 1013040385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013040385 |
Entity Type | Organization |
Organization Name | THE MOUNTAIN STAR CENTER |
Practice Address |
3520 W Oxford Ave Denver CO 80236-3108 |
Mailing Address |
1600 W 24th St Pueblo CO 81003-1411 |
Practice Telephone | 3038667080 |
Practice Fax Number | 3038667088 |
Mailing Telephone | 7195464000 |
Mailing Fax Number | 7195464484 |
Enumeration Date | 2007-03-14 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. KAT FOO (HIPAA OFFICER) |
Authorized Official Telephone | 3038665871 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 13363 | CO | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 18751067 | 05 |
Street Address |
3520 W OXFORD AVE |
City | DENVER |
State | CO |
Zip Code | 80236-3108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356409064 | Robert Lee Hernandez | Psychiatry & Neurology | 3520 W Oxford Ave, Denver, CO 80236-3108 | 2006-12-05 |
1134568652 | Jill Spice | Psychiatry & Neurology | 3520 W Oxford Ave, Denver, CO 80236-3108 | 2013-06-18 |
1194076448 | Ashley Gunterman | Psychologist | 3520 W Oxford Ave, Jail Based Evaluation and Restoration, Denver, CO 80236-3108 | 2012-09-26 |
1629297353 | Sharon Giesey | Physical Therapist | 3520 W Oxford Ave, Denver, CO 80236-3108 | 2007-04-24 |
1881819761 | Steven J Dodson | Rehabilitation Counselor | 3520 W Oxford Ave, Denver, CO 80236-3108 | 2007-04-16 |
1245455229 | Julie M King | Rehabilitation Counselor | 3520 W Oxford Ave, Denver, CO 80236-3108 | 2007-04-16 |
1487879466 | Lisa Lea Lanari | Rehabilitation Counselor | 3520 W Oxford Ave, Denver, CO 80236-3108 | 2007-04-16 |
1003031980 | James T Maniatis | Rehabilitation Counselor | 3520 W Oxford Ave, Denver, CO 80236-3108 | 2007-04-16 |
1396960654 | Shari Gerson | Recreation Therapist | 3520 W Oxford Ave, Denver, CO 80236-3108 | 2007-04-13 |
1265550255 | Janice Diane Hinds | Occupational Therapist | 3520 W Oxford Ave, Denver, CO 80236-3108 | 2007-03-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710359013 | Vincent Warren Lewis | Counselor | 3738 W Princeton Circle, Denver, CO 80236 | 2015-10-26 |
1912395427 | Robert Dooley | Counselor | 3804 W. Princeton Circle, Denver, CO 80236 | 2015-01-06 |
1629476544 | David Dent | Counselor | 3738 West Princeton Circle, Denver, CO 80236 | 2014-12-09 |
1972900256 | Sheila Sam A Mosley | Substance Abuse Rehabilitation Facility | 3874 W. Princeton Circle, Denver, CO 80236 | 2014-12-02 |
1629474333 | Carolyn Stanton-patrick | Counselor | 3660 W. Princeton Circle, Denver, CO 80236 | 2014-11-06 |
1184029282 | Daniele Maria Wolff | Counselor | 3620 W Princeton Cir, Denver, CO 80236 | 2014-10-31 |
1437432895 | Specialtouch Transportation LLC | Non-emergency Medical Transport (VAN) | 3101 S Federal Blvd, F-11, Denver, CO 80236 | 2011-09-22 |
1518033638 | County of Arapahoe Sheridan School District 2 | Local Education Agency (LEA) | 4000 S Lowell Blvd, Denver, CO 80236 | 2006-11-28 |
1285015495 | Rita Roberts | Counselor | 3738 West Princeton Circle, Denver, CO 80236 | 2015-06-12 |
1962830620 | Stephanie Booco | Counselor | 3525 W Oxford Ave, Denver, CO 80236 | 2013-10-16 |
Find all providers in zip 80236 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134632896 | Aspinwall Limited Liability Company | Community Based Residential Treatment Facility, Mental Illness | 8263 E Mansfield Ave, Denver, CO 80237-1722 | 2017-11-15 |
1720538648 | Maddisen Mosser | Community Based Residential Treatment Facility, Mental Illness | 8400 E Yale Ave Apt 2-208, Denver, CO 80231-3853 | 2016-10-04 |
1528470036 | Steps2hope | Community Based Residential Treatment Facility, Mental Illness | 3261 Raleigh St, Denver, CO 80212-1707 | 2014-06-02 |
1316280365 | Urban Peak | Community Based Residential Treatment Facility, Mental Illness | 1630 S Acoma St, Denver, CO 80223-3602 | 2013-03-28 |
1396991865 | Peidmont Rresidential Services Inc | Community Based Residential Treatment Facility, Mental Illness | 7540 Forest Oak Dr, Denver, NC 28037-8224 | 2008-08-14 |
1376992149 | Connor Folkerts | Community Based Residential Treatment Facility, Mental Illness | 975 N Lincoln St, 3i North, Denver, CO 80203-2725 | 2016-06-12 |
1467854786 | Maxim Staffing Solutions | Community Based Residential Treatment Facility, Mental Illness | 4500 E Cherry Creek South Dr, Denver, CO 80246-1518 | 2014-09-17 |
1689004343 | Corey Brown | Community Based Residential Treatment Facility, Mental Illness | 2600 S Grant St, Denver, CO 80210-5708 | 2013-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972038313 | Girls Only Ministry | Community Based Residential Treatment Facility, Mental Illness | 655 North 16th Way, Brighton, CO 80601 | 2017-04-24 |
1730611146 | Rite of Passage, Inc | Community Based Residential Treatment Facility, Mental Illness | 5924 Us Highway 285, Morrison, CO 80465-9101 | 2017-04-03 |
1124497268 | Daniel Little | Community Based Residential Treatment Facility, Mental Illness | 3764 Silverton Street, Boulder, CO 80301 | 2015-09-18 |
1740699362 | Turning Point Center for Youth and Family Development, Inc. | Community Based Residential Treatment Facility, Mental Illness | 640 W Prospect Rd, Fort Collins, CO 80526-1918 | 2014-08-07 |
1699184416 | Turning Point Center for Youth and Family Development, Inc. | Community Based Residential Treatment Facility, Mental Illness | 10431 N County Road 15, Fort Collins, CO 80524-8733 | 2014-08-06 |
1447692876 | La Mar Child Placemnt Agency | Community Based Residential Treatment Facility, Mental Illness | 5315 Hicks Dr, Colorado Springs, CO 80911-3615 | 2013-07-26 |
1700122165 | Cheryl K Sisco | Community Based Residential Treatment Facility, Mental Illness | 6860 W Mississippi Ave Unit D, Lakewood, CO 80226 | 2012-12-12 |
1134475825 | Maxim Health Care | Community Based Residential Treatment Facility, Mental Illness | 5200 S Ulster St, 1503, Greenwood Village, CO 80111-2861 | 2012-07-31 |
1598044547 | Gateway Residential Services | Community Based Residential Treatment Facility, Mental Illness | 3338 Ash Mesa Rd, Delta, CO 81416-8766 | 2011-08-09 |
1043524267 | Luis Alvarez LLC | Community Based Residential Treatment Facility, Mental Illness | 922 2nd Ave, Monte Vista, CO 81144-1443 | 2010-07-29 |
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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.