JEFFERSON CENTER FOR MENTAL HEALTH


Address: 12751 W 56th Pl, Arvada, CO 80002-1327
Phone: 3034244136

JEFFERSON CENTER FOR MENTAL HEALTH (NPI# 1225429087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225429087
Entity Type Organization
Organization Name JEFFERSON CENTER FOR MENTAL HEALTH
Practice Address 12751 W 56th Pl
Arvada
CO 80002-1327
Mailing Address 4851 Independence St
Suite 200
Wheat Ridge
CO 80033-6715
Practice Telephone 3034244136
Practice Fax Number 3034244125
Mailing Telephone 3034250300
Mailing Fax Number 3034325071
Enumeration Date 2015-02-13
Last Update Date 2015-02-13
Authorized Official Name MR. MATTHEW GORDON JOHNSON (RESIDENTIAL COUNSELOR)
Authorized Official Telephone 6513072486
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3104A0625X Assisted Living Facility
Specialization: Assisted Living, Mental Illness
Nursing & Custodial Care Facilities

Other Provider IDs and Locations

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
1013373679 Jefferson Center for Mental Health Pharmacy 4851 Independence St, Wheat Ridge, CO 80033-6715 2016-01-12
1144600834 Jefferson Center for Mental Health Community/Behavioral Health 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 2015-06-08
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

Office Location

Street Address 12751 W 56TH PL
City ARVADA
State CO
Zip Code 80002-1327

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881875656 Karen's House Community/Behavioral Health 12751 W 56th Pl, Arvada, CO 80002-1327 2007-11-20
1689054355 Auriel Valdez Counselor 12751 W 56th Pl, Arvada, CO 80002-1327 2015-06-08
1730585100 Elizabeth Gean Tracey Counselor 12751 W 56th Pl, Arvada, CO 80002-1327 2014-11-13
1760741896 Emily Kingston Community Based Residential Treatment Facility, Mental Illness 12751 W 56th Pl, Arvada, CO 80002-1327 2012-05-09
1396054979 Valerie Parker Counselor 12751 W 56th Pl, Arvada, CO 80002-1327 2010-09-30
1871777540 Rachel R Fahnestock Community Based Residential Treatment Facility, Mental Illness 12751 W 56th Pl, Arvada, CO 80002-1327 2007-12-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578036679 Mountain Valley Mental Health, LLC Nurse Practitioner 5400 Ward Rd Building V, Suite 110, Arvada, CO 80002 2019-01-10
1013407865 University of Colorado Hospital Authority Clinic/Center 9505 Ralston Rd., Arvada, CO 80002 2018-05-17
1023513793 Kent Lamountdo Jones Behavior Technician Aspen Business Park 5400 Building II Suite G-101, Arvada, CO 80002 2018-03-26
1023536638 Jennifer Rindt Pharmacist 5656 Ward Way Unit A, Arvada, CO 80002 2017-09-03
1396273884 Rocky Mountain Physicians Group, PC Clinic/Center 9250 Ralston Rd, Arvada, CO 80002 2017-05-26
1164955852 Wal-mart Stores, Inc. Eyewear Supplier (Equipment, not the service) 9400 Ralston Road, Arvada, CO 80002 2017-04-10
1003355173 Ohana Service Agency Foster Care Agency 8600 Ralston Rd # L103, Arvada, CO 80002 2017-02-22
1053863738 Parker Personal Care Homes, Inc. Day Training, Developmentally Disabled Services 6055 West 55th Place, Arvada, CO 80002 2016-10-28
1316397433 Cortez Harvey Counselor 5275 Marshall St Ste 101, Arvada, CO 80002 2016-06-20
1013311216 Peter J Dahlberg Nurse Practitioner 5400 Ward Rd Ste 110, Arvada, CO 80002 2014-10-16
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Taxonomy Information

Taxonomy Code 3104A0625X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Mental Illness

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811522071 Triangle Cross Ranch Assisted Living Facility 36049 Co Rd 51, Galeton, CO 80622 2020-03-09
1528539012 Kasko LLC Assisted Living Facility 7120 S Broadway, Littleton, CO 80122-8006 2018-12-10
1215471370 Family Care Assisted Living LLC Assisted Living Facility 174 Edlun Rd, Grand Junction, CO 81503-2220 2016-12-08
1346608072 Just for Seniors Living Center Assisted Living Facility 1180 Brentwood St, Lakewood, CO 80214-4015 2016-02-09
1538527973 Harvey Park Assisted Living LLC Assisted Living Facility 1999 S Raleigh St, Denver, CO 80219-5152 2016-01-31
1447615968 Johnson Home Assisted Living, Inc. Assisted Living Facility 403 W 13th St, Pueblo, CO 81003-2748 2015-12-28
1215300058 Scs Assisted Living Inc Assisted Living Facility 8029 S Marshall St, Littleton, CO 80128-5856 2015-11-02
1861793457 Angkor Wat East Assisted Living I Assisted Living Facility 3293 Lombardy Ln, Clifton, CO 81520-7717 2010-11-12
1043484140 P.a.l's Acf & Day Program Assisted Living Facility 232 Broadway Ave, Pueblo, CO 81004-2102 2008-04-18
1750587077 Sam Lem Hean Assisted Living Facility 174 Edlum Road, Grand Junction, CO 81503 2007-06-24
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Competitor

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City ARVADA
Zip Code 80002

Improve Information

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Dataset Information

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.

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