NORTH RANGE BEHAVIORAL HEALTH (NPI# 1326510348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326510348 |
| Entity Type | Organization |
| Organization Name | NORTH RANGE BEHAVIORAL HEALTH |
| Practice Address |
1316 11th Ave Greeley CO 80631-3835 |
| Mailing Address |
1300 N 17th Ave Greeley CO 80631-9584 |
| Practice Telephone | 9703472120 |
| Mailing Telephone | 9703472120 |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | LARRY POTTORFF (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9703472373 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | CDHPE | 2303FH | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295060598 | North Range Behavioral Health | Clinic/Center | 1260 H St, Greeley, CO 80631-9115 | 2009-10-05 |
| 1275548638 | North Range Behavioral Health | Clinic/Center | 2350 W 3rd Street Rd, Greeley, CO 80631 | 2006-07-31 |
| 1669431524 | North Range Behavioral Health | Public Health or Welfare | 1300 N 17th Ave, Greeley, CO 80631 | 2006-03-20 |
| 1629684881 | North Range Behavioral Health | Clinic/Center | 1140 M St, Greeley, CO 80631-9586 | 2020-09-22 |
| 1386250843 | North Range Behavioral Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620-1011 | 2020-09-21 |
| 1487260956 | North Range Behavioral Health | Clinic/Center | 1309 10th Ave, Greeley, CO 80631-3832 | 2020-09-21 |
| 1346856887 | North Range Behavioral Health | Clinic/Center | 1170 W Ash St Ste 100, Windsor, CO 80550-4783 | 2020-09-21 |
| 1215543855 | North Range Behavioral Health | Clinic/Center | 7251 W 20th St Unit C, Greeley, CO 80634-4626 | 2020-09-18 |
| 1598371494 | North Range Behavioral Health | Clinic/Center | 100 N 11th Ave, Greeley, CO 80631-2011 | 2020-09-17 |
| 1578179487 | North Range Behavioral Health | Clinic/Center | 928 12th St, Greeley, CO 80631-4024 | 2020-09-17 |
| Street Address |
1316 11TH AVE |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922434612 | Ben Lundstrom | Counselor | 1316 11th Ave, Greeley, CO 80631-3835 | 2013-09-25 |
| 1396226221 | Kenyan Roland Taylor | Community Health Worker | 1316 11th Ave, Greeley, CO 80631-3835 | 2018-08-28 |
| 1427539550 | Deandre Jackson Jr. | Community Health Worker | 1316 11th Ave, Greeley, CO 80631-3835 | 2018-08-27 |
| 1376990762 | Alondra A Carranza | Counselor | 1316 11th Ave, Greeley, CO 80631-3835 | 2016-05-16 |
| 1114374642 | Alexis D Garza | Counselor | 1316 11th Ave, Greeley, CO 80631-3835 | 2016-05-13 |
| 1487000915 | Jerome Brown | Counselor | 1316 11th Ave, Greeley, CO 80631-3835 | 2016-05-13 |
| 1790159655 | Rebeca J Wright | Counselor | 1316 11th Ave, Greeley, CO 80631-3835 | 2015-11-16 |
| 1124494471 | Ronette M Smith | Counselor | 1316 11th Ave, Greeley, CO 80631-3835 | 2015-08-20 |
| 1518333061 | Debra A Hosier | Counselor | 1316 11th Ave, Greeley, CO 80631-3835 | 2015-08-19 |
| 1295101285 | Ashley N Daugherty | Counselor | 1316 11th Ave, Greeley, CO 80631-3835 | 2015-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619096294 | Turning Point Center for Youth & Family Development, Inc | Community Based Residential Treatment Facility, Mental Illness | 913 11th Ave, Greeley, CO 80631-3821 | 2007-03-28 |
| 1164541736 | Turning Point Center for Youth & Family Development, Inc | Community Based Residential Treatment Facility, Mental Illness | 1819 Birch Ave, Greeley, CO 80631-6142 | 2007-03-28 |
| 1356750962 | Turning Point Center for Youth and Family Development, Inc. | Community Based Residential Treatment Facility, Mental Illness | 913 11th Ave, Greeley, CO 80631-3821 | 2014-08-07 |
| 1376829465 | North Range Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 1700 7th Ave, Greeley, CO 80631-6195 | 2011-11-02 |
| 1497939151 | Lcmh Dba Namaqua Center | Community Based Residential Treatment Facility, Mental Illness | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2007-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134632896 | Aspinwall Limited Liability Company | Community Based Residential Treatment Facility, Mental Illness | 8263 E Mansfield Ave, Denver, CO 80237-1722 | 2017-11-15 |
| 1972038313 | Girls Only Ministry | Community Based Residential Treatment Facility, Mental Illness | 655 North 16th Way, Brighton, CO 80601 | 2017-04-24 |
| 1730611146 | Rite of Passage, Inc | Community Based Residential Treatment Facility, Mental Illness | 5924 Us Highway 285, Morrison, CO 80465-9101 | 2017-04-03 |
| 1720538648 | Maddisen Mosser | Community Based Residential Treatment Facility, Mental Illness | 8400 E Yale Ave Apt 2-208, Denver, CO 80231-3853 | 2016-10-04 |
| 1124497268 | Daniel Little | Community Based Residential Treatment Facility, Mental Illness | 3764 Silverton Street, Boulder, CO 80301 | 2015-09-18 |
| 1740699362 | Turning Point Center for Youth and Family Development, Inc. | Community Based Residential Treatment Facility, Mental Illness | 640 W Prospect Rd, Fort Collins, CO 80526-1918 | 2014-08-07 |
| 1699184416 | Turning Point Center for Youth and Family Development, Inc. | Community Based Residential Treatment Facility, Mental Illness | 10431 N County Road 15, Fort Collins, CO 80524-8733 | 2014-08-06 |
| 1528470036 | Steps2hope | Community Based Residential Treatment Facility, Mental Illness | 3261 Raleigh St, Denver, CO 80212-1707 | 2014-06-02 |
| 1447692876 | La Mar Child Placemnt Agency | Community Based Residential Treatment Facility, Mental Illness | 5315 Hicks Dr, Colorado Springs, CO 80911-3615 | 2013-07-26 |
| 1316280365 | Urban Peak | Community Based Residential Treatment Facility, Mental Illness | 1630 S Acoma St, Denver, CO 80223-3602 | 2013-03-28 |
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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.