CENTENNIAL MENTAL HELATH CENTER


Address: 211 W Main St, Sterling, CO 80751-3168
Phone: 9705224549

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 150153 CO Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CO 04110094 05

Other Provider IDs and Locations

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

Office Location

Street Address 211 W MAIN ST
City STERLING
State CO
Zip Code 80751-3168

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City STERLING
Zip Code 80751

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Dataset Information

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.

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