CENTENNIAL MENTAL HELATH CENTER (NPI# 1417197757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417197757 |
Entity Type | Organization |
Organization Name | CENTENNIAL MENTAL HELATH CENTER |
Practice Address |
211 W Main St Sterling CO 80751-3168 |
Practice Telephone | 9705224549 |
Practice Fax Number | 9705226898 |
Mailing Telephone | 9705224549 |
Mailing Fax Number | 9705226898 |
Enumeration Date | 2009-02-26 |
Last Update Date | 2017-02-06 |
Authorized Official Name | ELIZABETH HICKMAN (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9705224549 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 150153 | CO | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 04110094 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225663545 | Centennial Mental Helath Center | Clinic/Center | 80 East First, Suite 2, Cheyenne Wells, CO 80810-0000 | 2020-03-06 |
Street Address |
211 W MAIN ST |
City | STERLING |
State | CO |
Zip Code | 80751-3168 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174165138 | Brittney Lumpkin | Counselor | 211 W Main St, Sterling, CO 80751-3168 | 2019-10-11 |
1942865639 | Michele Marostica | Counselor | 211 W Main St, Sterling, CO 80751-3168 | 2019-05-08 |
1508338625 | Gina Ashmore | Counselor | 211 W Main St, Sterling, CO 80751-3168 | 2018-12-31 |
1740751585 | Jennifer Hadley | Behavior Technician | 211 W Main St, Sterling, CO 80751-3168 | 2018-12-05 |
1457826430 | Cody Jenkins | Behavior Technician | 211 W Main St, Sterling, CO 80751-3168 | 2018-10-05 |
1619452984 | Camron Morton | Behavior Technician | 211 W Main St, Sterling, CO 80751-3168 | 2018-10-02 |
1639654916 | Francesca Nelson | Behavior Technician | 211 W Main St, Sterling, CO 80751-3168 | 2018-10-02 |
1790261741 | Timothy Murray | Social Worker | 211 W Main St, Sterling, CO 80751-3168 | 2018-07-12 |
1881170801 | Bonita Deering | Counselor | 211 W Main St, Sterling, CO 80751-3168 | 2018-07-12 |
1679059786 | Kirstyn Fritzler | Social Worker | 211 W Main St, Sterling, CO 80751-3168 | 2018-07-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
1477018786 | Elizabeth Broadwell | Nurse Practitioner | 12101 Co-61, Sterling, CO 80751 | 2019-01-31 |
1396102794 | Jamie Soucie | Counselor | 330 W. Maint St. Ste B, Sterling, CO 80751 | 2016-01-15 |
1023487469 | Tappy Health & Wellness, Inc. | Physical Therapist | 309 S Railway St, Sterling, CO 80751 | 2015-09-16 |
1033465257 | Patricia Carol Smith | Physical Therapist | 100 Broadway St. Suite 24, Sterling, CO 80751 | 2012-07-25 |
1770855900 | Total Renal Care Inc | Clinic/Center | 603 Holly Dr, Sterling, CO 80751 | 2012-02-03 |
1609172782 | Keyna I Schlup | Family Medicine | 428 S 2nd St, Sterling, CO 80751 | 2011-02-07 |
1871811604 | Alexis Balstad | Obstetrics & Gynecology | 1405 S 8th Ave Suite 105, Sterling, CO 80751 | 2010-05-04 |
1770705659 | Donna Bishop Davis | Marriage & Family Therapist | 228 South Third Street, Suite 1, Sterling, CO 80751 | 2007-05-02 |
1659406338 | Kimberly Ann Suter | Dentist | 617 W Main Street, Sterling, CO 80751 | 2007-02-22 |
Find all providers in zip 80751 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376012096 | Diamond Counseling, LLC | Community/Behavioral Health | 6 Pidgeon Hill Dr Ste 250, Sterling, VA 20165-6147 | 2018-11-26 |
1568992683 | Hope House Serving Northeastern Colorado | Community/Behavioral Health | 915 S Division Ave, Sterling, CO 80751-4103 | 2017-06-13 |
1821374281 | Sterling Nursery School Inc. | Community/Behavioral Health | 123 Rowley Hill Rd, Sterling, MA 01564-2119 | 2011-10-31 |
1932341088 | Sunrise Recovery Center | Community/Behavioral Health | 119 Poplar St, Sterling, CO 80751-4325 | 2009-04-02 |
1710186846 | Sinnissippi Centers Inc. | Community/Behavioral Health | 2104 E 23rd St, Sterling, IL 61081-1608 | 2007-07-18 |
1922648617 | Healing Journey Therapy Services, LLC | Community/Behavioral Health | 2 Pidgeon Hill Dr Ste 450, Sterling, VA 20165-6148 | 2020-01-09 |
1457801748 | Sinnissippi Centers, Inc. | Community/Behavioral Health | 2611 Woodlawn Rd, Sterling, IL 61081-4151 | 2016-10-11 |
1225584147 | Cobalt Nature Center, Pllc. | Community/Behavioral Health | 1059 M 76, Sterling, MI 48659-9614 | 2016-08-31 |
1053786962 | The Center for Self-development, LLC | Community/Behavioral Health | 2 Pidgeon Hill Dr, Suite 450, Sterling, VA 20165-6145 | 2015-12-03 |
1891188025 | The Key Center of Florida | Community/Behavioral Health | 21155 Whitfield Pl, Suite 206, Sterling, VA 20165 | 2015-03-12 |
Find all providers in STERLING |
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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.