MENTAL HEALTH CENTER OF BOULDER COUNTY (NPI# 1114093010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114093010 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH CENTER OF BOULDER COUNTY |
| Other Organization Name | MENTAL HEALTH PARTNERS |
| Practice Address |
529 Coffman St Ste 300 Longmont CO 80501-5450 |
| Mailing Address |
1455 Dixon Ave Lafayette CO 80026-8879 |
| Practice Telephone | 3034438500 |
| Mailing Telephone | 3034438500 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | JOANIE GERGEN (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 3034438500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 531 | CO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 78484383 | 05 |
| Other Name | Type Code |
|---|---|
| Mental Health Partners | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942420559 | Mental Health Center of Boulder County | Community/Behavioral Health | 899 Us Highway 287 Ste 300, Broomfield, CO 80020-7319 | 2007-04-26 |
| 1760544373 | Mental Health Center of Boulder County | Pharmacy | 3180 Airport Rd, Boulder, CO 80301-2208 | 2006-12-14 |
| 1740703586 | Mental Health Center of Boulder County | Clinic/Center | 1333 Iris Ave, Boulder, CO 80304-2226 | 2017-07-24 |
| 1245693829 | Mental Health Center of Boulder County | Counselor | 3470 Broadway St, Boulder, CO 80304-1824 | 2016-04-01 |
| 1760690648 | Mental Health Center of Boulder County | Community Based Residential Treatment Facility, Mental Illness | 1333 Iris Ave, Boulder, CO 80304-2226 | 2007-05-21 |
| 1518080449 | Mental Health Center of Boulder County | Psychiatric Residential Treatment Facility | 2833 Broadway St, Boulder, CO 80304-3544 | 2007-04-07 |
| 1184774135 | Mental Health Center of Boulder County | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2007-01-11 |
| 1639229586 | Mental Health Center of Boulder County | Psychiatric Hospital | 834 S Sherman St, Longmont, CO 80501-6323 | 2007-01-11 |
| 1083762728 | Mental Health Center of Boulder County | Community Based Residential Treatment Facility, Mental Illness | 3100 Bucknell Ct, Boulder, CO 80305-3465 | 2007-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MENTAL HEALTH CENTER OF BOULDER COUNTY, INC. | 1455 Dixon Avenue, Suite 300, Lafayette, CO 80026 |
| Street Address |
529 COFFMAN ST STE 300 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-5450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063990489 | Danice Williamson | Case Manager/Care Coordinator | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2018-07-30 |
| 1811403363 | Christine E Cork | Physician Assistant | 529 Coffman St Ste 300, Longmont, CO 80501 | 2017-12-20 |
| 1841705274 | Susan Hester Pomerleau | Case Manager/Care Coordinator | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2017-12-07 |
| 1205340775 | Kristen Kron | Counselor | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2017-11-20 |
| 1760908107 | Melissa Clare Smith | Counselor | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2017-08-17 |
| 1861807265 | Anne Hyink | Counselor | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2014-06-24 |
| 1477968170 | Jeri Innis | Counselor | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2014-06-23 |
| 1568661379 | Andrea L Berger | Counselor | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2007-07-12 |
| 1689893315 | Kimberli Hamilton | Counselor | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2007-04-24 |
| 1346368172 | Chris E. Lovato | Counselor | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| 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 |
|---|---|---|---|---|
| 1740751635 | Grand Slam Supports | Community/Behavioral Health | 2313 Dunbar Ct, Longmont, CO 80501-1009 | 2018-12-17 |
| 1487107835 | David Sullivan Therapy LLC | Community/Behavioral Health | 921 Dannys Ct, Longmont, CO 80501-4235 | 2016-08-02 |
| 1134581580 | Back To Life Counseling, LLC | Community/Behavioral Health | 500 9th Ave Ste 10, Longmont, CO 80501-4599 | 2016-03-24 |
| 1316318892 | Evolve Child and Family Therapy | Community/Behavioral Health | 2314 Judson St, Longmont, CO 80501-1015 | 2015-10-09 |
| 1659783116 | Your Story Counseling, LLC | Community/Behavioral Health | 709 3rd Ave Ste 201, Longmont, CO 80501-5926 | 2014-06-02 |
| 1396952933 | Community Advantage, Inc. | Community/Behavioral Health | 1375 Ken Pratt Blvd, Longmont, CO 80501-6325 | 2007-05-16 |
| 1396345625 | Debbie Mayer, Lcsw, LLC | Community/Behavioral Health | 709 Kimbark St, Longmont, CO 80501-4968 | 2020-10-27 |
| 1225576481 | Aspen Counseling Group | Community/Behavioral Health | 709 3rd Ave, Longmont, CO 80501-5926 | 2017-02-08 |
| 1477900934 | Innes Productions, Inc | Community/Behavioral Health | 545 Collyer St, Longmont, CO 80501-5598 | 2016-05-15 |
| 1528447513 | Elders Rising LLC | Community/Behavioral Health | 6314 Corinth Rd, Longmont, CO 80503-9029 | 2015-05-22 |
| Find all providers in LONGMONT | ||||
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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.