ROCKY MOUNTAIN BEHAVIORAL HEALTH (NPI# 1154698777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154698777 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN BEHAVIORAL HEALTH |
| Practice Address |
3239 Independence Rd Canon City CO 81212-9380 |
| Practice Telephone | 7192757650 |
| Mailing Telephone | 7192757650 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | RON BLAKE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7192757650 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 7307 | CO | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698812 | Rocky Mountain Behavioral Health | Exclusive Provider Organization | 685 Citadel Dr E Ste 125, Colorado Springs, CO 80909-5316 | 2020-10-28 |
| 1992739106 | Rocky Mountain Behavioral Health | Exclusive Provider Organization | 1031 E Rainbow Blvd # B, Salida, CO 81201-2911 | 2006-07-11 |
| 1922068931 | Rocky Mountain Behavioral Health | Exclusive Provider Organization | 3239 Independence Rd, Canon City, CO 81212-9380 | 2006-03-24 |
| 1780039784 | Rocky Mountain Behavioral Health | Community/Behavioral Health | 3239 Independence Rd, Canon City, CO 81212-9380 | 2016-04-27 |
| Street Address |
3239 INDEPENDENCE RD |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-9380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922068931 | Rocky Mountain Behavioral Health | Exclusive Provider Organization | 3239 Independence Rd, Canon City, CO 81212-9380 | 2006-03-24 |
| 1093315749 | William Dustin Paquette | Counselor | 3239 Independence Rd, Canon City, CO 81212-9380 | 2020-10-30 |
| 1700417458 | Alyssa Mitchell | Counselor | 3239 Independence Rd, Canon City, CO 81212-9380 | 2020-01-31 |
| 1831720606 | Halie Alexander | Social Worker | 3239 Independence Rd, Canon City, CO 81212-9380 | 2020-01-30 |
| 1487294955 | Brandy Lachelle Alvidrez | Counselor | 3239 Independence Rd, Canon City, CO 81212-9380 | 2020-01-13 |
| 1265901821 | Taletha Higginbotham | Counselor | 3239 Independence Rd, Canon City, CO 81212-9380 | 2018-11-13 |
| 1073015368 | Laura Kristie Taylor | Counselor | 3239 Independence Rd, Canon City, CO 81212-9380 | 2018-03-02 |
| 1710486949 | Jaimee Corinne Stone | Case Manager/Care Coordinator | 3239 Independence Rd, Canon City, CO 81212-9380 | 2018-02-02 |
| 1538677729 | Andrea Lee Fillingane | Social Worker | 3239 Independence Rd, Canon City, CO 81212-9380 | 2018-01-22 |
| 1679092167 | Keith David Larsen | Peer Specialist | 3239 Independence Rd, Canon City, CO 81212-9380 | 2017-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| 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 |
|---|---|---|---|---|
| 1730715954 | West Central Mental Health Center, Inc | Community/Behavioral Health | 701 S 9th St, Canon City, CO 81212-4911 | 2020-03-19 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1780039784 | Rocky Mountain Behavioral Health | Community/Behavioral Health | 3239 Independence Rd, Canon City, CO 81212-9380 | 2016-04-27 |
| 1245536168 | Accent On Life, LLC | Community/Behavioral Health | 1335 Phay Ave, Suite H, Canon City, CO 81212-2334 | 2011-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407687 | Rrk Enterprise | Community/Behavioral Health | 4300 Kalamath St, Denver, CO 80211-2417 | 2020-11-08 |
| 1558960922 | Warrior Tree Counseling, LLC | Community/Behavioral Health | 29 Bluebird Ln, Bailey, CO 80421-2005 | 2020-10-18 |
| 1760080386 | Adventure Learning Behavioral Interventions | Community/Behavioral Health | 5423 Spoked Wheel Dr, Colorado Springs, CO 80923-8741 | 2020-10-15 |
| 1831797562 | Cairn Counseling | Community/Behavioral Health | 1475 W Dakota Ave, Denver, CO 80223-2008 | 2020-10-14 |
| 1649887035 | Neuropsychological Assessments of Colorado, Professional LLC | Community/Behavioral Health | 7105 S Titus St, Aurora, CO 80016-7560 | 2020-09-29 |
| 1558977272 | Chrysalis Continuing Care, LLC | Community/Behavioral Health | 3254 Larimer St, Denver, CO 80205-2314 | 2020-09-17 |
| 1194330928 | Michelle Garcia Lmft | Community/Behavioral Health | 304 Albion Way, Fort Collins, CO 80526-3238 | 2020-09-09 |
| 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 |
| 1073139770 | Kjs Counseling and Consulting | Community/Behavioral Health | 41 Tassels Loop, Breckenridge, CO 80424-8814 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
| City | CANON CITY |
| Zip Code | 81212 |
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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.