MENTAL HEALTH CENTER OF BOULDER COUNTY (NPI# 1184774135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184774135 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH CENTER OF BOULDER COUNTY |
| Other Organization Name | MENTAL HEALTH PARTNERS |
| Practice Address |
1000 Alpine Ave Boulder CO 80304-3406 |
| Mailing Address |
1455 Dixon Ave Lafayette CO 80026-8879 |
| Practice Telephone | 3034438500 |
| Mailing Telephone | 0344385003 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-10-01 |
| 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 |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| 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 |
| 1114093010 | Mental Health Center of Boulder County | Community/Behavioral Health | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2006-11-24 |
| 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 |
| 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 |
1000 ALPINE AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319442 | Anne W. Birnbaum | Dentist | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2005-07-11 |
| 1255945127 | Ryan Babineaux | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2020-09-08 |
| 1295378149 | Amy Nitchman | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-10-23 |
| 1285275453 | Andi Williams | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-09-30 |
| 1720629868 | Danny Korman | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-09-30 |
| 1851948467 | Kelly Soberay | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-08-20 |
| 1538721790 | Kathryn Saldana | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-07-08 |
| 1952861825 | Isabelle Marie Fellay | Psychologist | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-03-25 |
| 1477011864 | Kenna Dickard | Case Manager/Care Coordinator | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-03-05 |
| 1336606961 | Anthony Tyler Brosi | Social Worker | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063917862 | Amber Ivanova | Counselor | 2525 13th St Ste 200, Boulder, CO 80304-4104 | 2018-03-26 |
| 1326586116 | Alicia Hagge | Counselor | 3050 Broadway St Unit 3, Boulder, CO 80304-3154 | 2017-02-01 |
| 1811351091 | Ashlee Ackelson | Counselor | 5277 Manhattan Cir Ste 114, Boulder, CO 80303-8200 | 2016-04-13 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| 1326453341 | Rhae Birmingham | Counselor | 1634 Walnut St Ste 221, Boulder, CO 80302-5400 | 2014-06-27 |
| 1467867952 | John Mccollum | Counselor | 3450 Broadway, Boulder, CO 80304-1899 | 2014-06-24 |
| 1871908244 | Robert Emmer | Counselor | 3450 Broadway St., Boulder, CO 80304-1899 | 2014-06-24 |
| 1316352958 | Alexis Mitsuko Kamakanoe Ornellas | Counselor | 2635 Mapleton Ave Lot 24, Boulder, CO 80304-3828 | 2014-06-23 |
| 1538580261 | Natsumi Minagawa | Counselor | 1800 30th St Ste 308, Boulder, CO 80301-1026 | 2013-12-24 |
| 1821419904 | Cassandra Field | Counselor | 954 North St Unit 308, Boulder, CO 80304-3420 | 2013-12-17 |
| Find all providers in BOULDER | ||||
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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.