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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| 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 |
| Street Address |
12751 W 56TH PL |
| City | ARVADA |
| State | CO |
| Zip Code | 80002-1327 |
| 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 |
| 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 |
| Find all providers in zip 80002 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| 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] |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.