SOUTHEAST MENTAL HEALTH SERVICES (NPI# 1407497290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407497290 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST MENTAL HEALTH SERVICES |
| Practice Address |
404 N Main St Rocky Ford CO 81067-1256 |
| Mailing Address |
711 Barnes Ave La Junta CO 81050-2138 |
| Practice Telephone | 7193845446 |
| Practice Fax Number | 7193845672 |
| Mailing Telephone | 7193845446 |
| Mailing Fax Number | 7193845672 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | CAROL A ARAGON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7193835408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000151062 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280907 | Southeast Mental Health Services | Clinic/Center | 910 W 3rd St, La Junta, CO 81050-1315 | 2019-11-19 |
| 1033752928 | Southeast Mental Health Services | Clinic/Center | 613 Barnes Ave, La Junta, CO 81050-2136 | 2019-10-23 |
| 1699317867 | Southeast Mental Health Services | Clinic/Center | 963 Elm Ave, Rocky Ford, CO 81067-1335 | 2019-10-09 |
| 1437791605 | Southeast Mental Health Services | Clinic/Center | 113 W Elm St, Lamar, CO 81052-2701 | 2019-10-09 |
| 1801438056 | Southeast Mental Health Services | Clinic/Center | 117 W Elm St, Lamar, CO 81052-2701 | 2019-10-09 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1184265985 | Southeast Mental Health Services | Clinic/Center | 101 E Lowell St, Eads, CO 81036-9683 | 2019-10-02 |
| 1417945254 | Southeast Mental Health Services | Clinic/Center | 711 Barnes Ave, La Junta, CO 81050-2138 | 2005-10-06 |
| 1295366177 | Southeast Mental Health Services | Clinic/Center | 711 Barnes Ave, La Junta, CO 81050-2138 | 2020-01-30 |
| 1942843834 | Southeast Mental Health Services | Clinic/Center | 214 Ash St, La Junta, CO 81050-9598 | 2019-10-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | SOUTHEAST MENTAL HEALTH SERVICES | 711 Barnes Ave, La Junta, CO 81050 |
| Street Address |
404 N MAIN ST |
| City | ROCKY FORD |
| State | CO |
| Zip Code | 81067-1256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437709003 | Southeast Wellness Works | Community/Behavioral Health | 404 N Main St, Rocky Ford, CO 81067-1256 | 2019-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124455035 | Joni Anne Stevens | Case Manager/Care Coordinator | 903 S 12th Street, Rocky Ford, CO 81067 | 2013-10-09 |
| 1548554454 | Wendy S. Adrian | Physical Therapist | 900 S. 12th St, Rocky Ford, CO 81067 | 2011-06-08 |
| 1114148780 | Calee Ann Mcclure | Chiropractor | 605 North 9th Street, Rocky Ford, CO 81067 | 2007-05-01 |
| 1902971963 | Dale N Horiuchi | Physical Therapist | 900 South 12th Street, Rocky Ford, CO 81067 | 2006-11-22 |
| 1174626402 | Matthew David Lewis | Family Medicine | 20817 Highway 266, Rocky Ford, CO 81067 | 2006-09-05 |
| 1548338114 | Kathryn A Overmyer | Speech-Language Pathologist | 900 South 12th Street, Rocky Ford, CO 81067 | 2006-12-01 |
| 1881769842 | Mollie R Stuchlik | Occupational Therapist | 900 South 12th Street, Rocky Ford, CO 81067 | 2006-11-22 |
| 1093804171 | Herbert Keiji Mameda | Dentist | 512 N Main St, Rocky Ford, CO 81067 | 2006-10-12 |
| 1013271824 | Lucas Craig Ortega | Chiropractor | 605 N 9th St, Rocky Ford, CO 81067-1013 | 2012-06-26 |
| 1073042586 | Hannah N Muth | Massage Therapist | 605 N 9th St, Rocky Ford, CO 81067-1013 | 2017-06-08 |
| Find all providers in zip 81067 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699317867 | Southeast Mental Health Services | Clinic/Center | 963 Elm Ave, Rocky Ford, CO 81067-1335 | 2019-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225336 | Wellcova Health Services | Clinic/Center | 90 Madison St Ste 703, Denver, CO 80206-5416 | 2020-11-04 |
| 1053911354 | Midwestern Colorado Mental Health Center | Clinic/Center | 214 6th St., Suite 4, Crested Butte, CO 81224 | 2020-10-27 |
| 1780284083 | Midwestern Colorado Mental Health Center | Clinic/Center | 238 E. Colorado Ave, Suite 9, Telluride, CO 81435 | 2020-10-27 |
| 1023625621 | Spanish Clinic LLC | Clinic/Center | 1400 Dayton St, Aurora, CO 80010-3233 | 2020-09-28 |
| 1477160083 | Spanish Clinic LLC | Clinic/Center | 12445 E 39th Ave Unit 207, Denver, CO 80239-3454 | 2020-09-28 |
| 1457966228 | Community Reach Center, Inc | Clinic/Center | 11275 Highline Dr, Northglenn, CO 80233-3076 | 2020-09-09 |
| 1437763968 | Arapahoe Mental Health Center, Inc | Clinic/Center | 9235 Crown Crest Blvd Ste 125, Parker, CO 80138-8880 | 2020-09-02 |
| 1528671880 | Natural Embodiment LLC | Clinic/Center | 640 Arapahoe Ave Apt 6, Boulder, CO 80302-5920 | 2020-08-26 |
| 1457963514 | Summitstone Health Partners | Clinic/Center | 810 E 10th St, Loveland, CO 80537-4946 | 2020-08-20 |
| 1558970889 | Kelley Dyer Lcsw Inc. | Clinic/Center | 4793 N Splendid Cir, Colorado Springs, CO 80917-1681 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY FORD |
| Zip Code | 81067 |
Please comment or provide details below to improve the information on SOUTHEAST MENTAL HEALTH SERVICES.
| 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.