JEFFERSON CENTER FOR MENTAL HEALTH (NPI# 1013373679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013373679 |
| Entity Type | Organization |
| Organization Name | JEFFERSON CENTER FOR MENTAL HEALTH |
| Other Organization Name | BLUE SPRUCE PHARMACY AT INDEPENDENCE |
| Practice Address |
4851 Independence St Wheat Ridge CO 80033-6715 |
| Practice Telephone | 3034325725 |
| Practice Fax Number | 3034325724 |
| Mailing Telephone | 3034325725 |
| Mailing Fax Number | 3034325724 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | JACOB HANSMEIER (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 3034325925 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 1680000103 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2157466 | 01 |
| Other Name | Type Code |
|---|---|
| Blue Spruce Pharmacy at Independence | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740586189 | Jefferson Center for Mental Health | Counselor | 1531 Colorado Blvd, Idaho Springs, CO 80452 | 2011-02-02 |
| 1154627503 | Jefferson Center for Mental Health | Counselor | 28577 Buffalo Road, Ste 240, Evergreen, CO 80439 | 2011-02-02 |
| 1720399108 | Jefferson Center for Mental Health | Community/Behavioral Health | 9485 Colfax, Lakewood, CO 80215 | 2010-06-30 |
| 1861574642 | Jefferson Center for Mental Health | Pharmacy | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2006-10-20 |
| 1144600834 | Jefferson Center for Mental Health | Community/Behavioral Health | 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 | 2015-06-08 |
| 1225429087 | Jefferson Center for Mental Health | Assisted Living Facility | 12751 W 56th Pl, Arvada, CO 80002-1327 | 2015-02-13 |
| 1225434004 | Jefferson Center for Mental Health | Community Based Residential Treatment Facility, Mental Illness | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2014-11-06 |
| 1568768273 | Jefferson Center for Mental Health | Counselor | 9200 W Cross Dr, Ste 421, Littleton, CO 80123-2239 | 2011-01-28 |
| 1902048192 | Jefferson Center for Mental Health | Clinic/Center | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2009-04-02 |
| 1720220916 | Jefferson Center for Mental Health | Clinic/Center | 7878 Wadsworth Blvd, Arvada, CO 80003-2146 | 2009-04-02 |
| Street Address |
4851 INDEPENDENCE ST |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-6715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073573457 | Maribeth Eileen Flanagan | Counselor | 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 | 2006-03-28 |
| 1215537055 | Taylor Hilton | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-30 |
| 1326647660 | Carly Jones | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-19 |
| 1760080139 | Sarah Greenbaum | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-16 |
| 1700483526 | Barrette Anne Keeffe | Case Manager/Care Coordinator | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-05 |
| 1871190603 | Tammy Schreckengast | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-05 |
| 1063019206 | Jessica Allen | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-01 |
| 1811594930 | David Joel Urbont | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-01 |
| 1114534302 | Taylor A Evergreen | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-09-30 |
| 1477169126 | Jennifer Jordan | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629515028 | Sisters of Charity of Leavenworth Health System Inc | Pharmacy | 8300 W 38th Ave Ste T2-105, Wheat Ridge, CO 80033-6005 | 2017-01-23 |
| 1386659621 | Walgreen Co | Pharmacy | 12700 W 32nd Ave, Wheat Ridge, CO 80033-5251 | 2006-07-29 |
| 1811389174 | Wheatridge Drug Store LLC | Pharmacy | 6650 W 38th Ave, Wheat Ridge, CO 80033-4906 | 2015-02-24 |
| 1407924236 | Kaiser Permanente Foundation of Colorado | Pharmacy | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2006-12-01 |
| 1740350321 | Whole Health Pharmacy, Inc. | Pharmacy | 8550 W 38th Ave, Suite 100, Wheat Ridge, CO 80033-4300 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053923870 | Professional Pharmacy Services, Inc. | Pharmacy | 4775 Larimer Pkwy Ste 101, Johnstown, CO 80534-9022 | 2020-08-21 |
| 1891305108 | Apex Pharmacy LLC | Pharmacy | 12597 E Mississippi Ave Unit 300, Aurora, CO 80012-3460 | 2020-08-03 |
| 1487275129 | Shavano Pharmacy LLC | Pharmacy | 415 Us Highway 24 N, Buena Vista, CO 81211 | 2020-05-05 |
| 1679107486 | Scriptdash Inc | Pharmacy | 1062 Delaware St, Denver, CO 80204-4033 | 2020-03-02 |
| 1518439280 | Eating Recovery Center Pharmacy | Pharmacy | 8199 East 1st Ave, Ste 110, Denver, CO 80230-8023 | 2018-12-19 |
| 1578055810 | Crx Pharmacy LLC | Pharmacy | 206 W County Line Rd Ste 100, Highlands Ranch, CO 80129-2319 | 2018-06-02 |
| 1578050423 | Apotheca LLC | Pharmacy | 171 N. Cora St., Suite 100, Ridgway, CO 81432 | 2018-04-17 |
| 1639689904 | Evans Army Community Hospital | Pharmacy | 565 Space Center Dr Ste 130, Colorado Springs, CO 80915-3610 | 2017-10-02 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1730612425 | Walmart Inc. | Pharmacy | 9400 Ralston Rd, Arvada, CO 80002-2004 | 2017-04-10 |
| Find all providers with the same taxonomy | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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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.