JEFFERSON CENTER FOR MENTAL HEALTH (NPI# 1306097654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306097654 |
| Entity Type | Organization |
| Organization Name | JEFFERSON CENTER FOR MENTAL HEALTH |
| Practice Address |
9808 W Cedar Ave Lakewood CO 80226-1023 |
| Mailing Address |
4851 Independence St Wheat Ridge CO 80033-6715 |
| Practice Telephone | 3034325012 |
| Practice Fax Number | 3034325073 |
| Mailing Telephone | 3034325012 |
| Mailing Fax Number | 3034325073 |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |
| Authorized Official Name | DAVID A GOFF (CFO) |
| Authorized Official Telephone | 3034325164 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
150413 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 52789829 | 05 |
| 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 |
| 1225429087 | Jefferson Center for Mental Health | Assisted Living Facility | 12751 W 56th Pl, Arvada, CO 80002-1327 | 2015-02-13 |
| 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 |
| Street Address |
9808 W CEDAR AVE |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80226-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063562965 | Keith Thomas Crosson | Counselor | 9808 W Cedar Ave, Lakewood, CO 80226-1023 | 2007-01-11 |
| 1700156452 | Joshua James Pfeiffer | Psychologist | 9808 W Cedar Ave, Lakewood, CO 80226-1023 | 2012-01-11 |
| 1639459522 | Susan Louise Ryan | Registered Nurse | 9808 W Cedar Ave, Lakewood, CO 80226-1023 | 2011-08-23 |
| 1598051757 | Richard Miccio | Counselor | 9808 W Cedar Ave, Lakewood, CO 80226-1023 | 2011-06-24 |
| 1003143850 | Qing Xu | Nurse Practitioner | 9808 W Cedar Ave, Lakewood, CO 80226-1023 | 2009-11-13 |
| 1598998270 | David Richard Bakulski | Counselor | 9808 W Cedar Ave, Lakewood, CO 80226-1023 | 2009-08-28 |
| 1235376971 | Kristen Ann Mason | Counselor | 9808 W Cedar Ave, Lakewood, CO 80226-1023 | 2009-01-16 |
| 1760631030 | Alicia Kwande | Social Worker | 9808 W Cedar Ave, Lakewood, CO 80226-1023 | 2008-09-11 |
| 1255589560 | Mary Anna Burns | Counselor | 9808 W Cedar Ave, Lakewood, CO 80226-1023 | 2008-08-29 |
| 1306092010 | Roxann Rene Wetherington | Counselor | 9808 W Cedar Ave, Lakewood, CO 80226-1023 | 2008-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153771 | Kaeley Marie Moffatt | Behavior Technician | 265 Harlan St, Lakewood, CO 80226 | 2020-01-10 |
| 1871130849 | Karla C Lara | Behavior Technician | 265 South Horland, Lakewood, CO 80226 | 2019-12-09 |
| 1063057842 | Nancy Sue Boisture | Physical Therapist | 393 South Harlan Street, Suite 170, Lakewood, CO 80226 | 2019-11-15 |
| 1891338083 | The Rising Sun Senior Home At Belmar Inc. | Assisted Living Facility | 835 S. Flower St, Lakewood, CO 80226 | 2019-10-21 |
| 1689195562 | Amanda Marie Reider | Counselor | 1075 S Yukon St Lakewood #100, Lakewood, CO 80226 | 2017-06-30 |
| 1477092591 | Premere Rehab LLC | Occupational Therapist | 7825 W Alameda Ave, Lakewood, CO 80226 | 2017-02-22 |
| 1477901304 | Abigail L Wegert | Registered Nurse | 8015 W Alameda Ave Ste 260, Lakewood, CO 80226 | 2016-06-01 |
| 1235507724 | Justin Evans | Emergency Medicine | 476 Newland St, Lakewood, CO 80226 | 2015-09-14 |
| 1922475672 | Kingston Dialysis LLC | Clinic/Center | 1057 S Wadsworth Blvd Ste 100, Lakewood, CO 80226 | 2015-08-28 |
| 1457731937 | Terry Cheung | Nurse Practitioner | 7444 W Alaska Drive, Suite #200, Lakewood, CO 80226 | 2015-06-01 |
| Find all providers in zip 80226 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1225425911 | Red Rock Recovery Centers LLC | Clinic/Center | 12567 W Cedar Dr, Lakewood, CO 80228-2009 | 2015-04-20 |
| 1265674451 | Jefferson Center for Mental Health | Clinic/Center | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2009-04-02 |
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| 1225663545 | Centennial Mental Helath Center | Clinic/Center | 80 East First, Suite 2, Cheyenne Wells, CO 80810-0000 | 2020-03-06 |
| 1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
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| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1003462623 | Realize Recovery LLC | Clinic/Center | 3775 Iris Ave Ste 6, Boulder, CO 80301-2043 | 2019-08-11 |
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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.