MR. JON DAVID LAURITZEN (NPI# 1922148519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922148519 |
| Entity Type | Individual |
| Full Name | MR. JON DAVID LAURITZEN |
| Credential | BA |
| Practice Address |
7290 W 14th Ave Lakewood CO 80214-4725 |
| Mailing Address |
4851 Independence St Suite 200 Wheat Ridge CO 80033-6715 |
| Practice Telephone | 3032328047 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
7290 W 14TH AVE |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80214-4725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558415059 | Bryan Kevin Gannon | Social Worker | 7290 W 14th Ave, Lakewood, CO 80214-4725 | 2007-01-22 |
| 1154702520 | Jenna Weisberg | Student in an Organized Health Care Education/Training Program | 7290 W 14th Ave, Lakewood, CO 80214-4725 | 2015-06-11 |
| 1326426719 | Katelyn Rae Bollow | Counselor | 7290 W 14th Ave, Lakewood, CO 80214-4725 | 2015-05-18 |
| 1952718850 | Dina Rachel Spanbock | Counselor | 7290 W 14th Ave, Lakewood, CO 80214-4725 | 2014-07-13 |
| 1073878740 | Amy May Battey | Counselor | 7290 W 14th Ave, Lakewood, CO 80214-4725 | 2012-07-09 |
| 1407184187 | Patrick Todd Johnson | Counselor | 7290 W 14th Ave, Lakewood, CO 80214-4725 | 2009-11-18 |
| 1780703751 | Thomas Brian Sears | Counselor | 7290 W 14th Ave, Lakewood, CO 80214-4725 | 2007-03-28 |
| 1265571442 | Ted Norris | Community Based Residential Treatment Facility, Mental Illness | 7290 W 14th Ave, Lakewood, CO 80214-4725 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266128 | Audra Perez | Social Worker | 1750 Pierce Street Suite C, Lakewood, CO 80214 | 2019-07-08 |
| 1508347758 | Robin Noel Mackin | Speech-Language Pathologist | 2401 Lamar Street, Edgewater, CO 80214 | 2018-08-26 |
| 1932636065 | Tamika Thomas | Counselor | 950 Wadsworth Blvd Ste 203, Lakewood, CO 80214 | 2017-05-19 |
| 1902353568 | Holly Carpenter | Counselor | 1410 Vance St, Lakewood, CO 80214 | 2016-09-01 |
| 1285094672 | Danijela Jankovic | Dentist | 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 | 2016-02-29 |
| 1053784207 | Dale Kim | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214 | 2015-11-10 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1265879498 | Diana M Arvizo | Occupational Therapy Assistant | 1685 Eaton St., Lakewood, CO 80214 | 2013-05-29 |
| 1528332731 | Jennifer Anderson | Physical Therapist | 5354 W 25th Ave, Edgewater, CO 80214 | 2012-03-06 |
| Find all providers in zip 80214 | ||||
| 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 |
|---|---|---|---|---|
| 1700122165 | Cheryl K Sisco | Community Based Residential Treatment Facility, Mental Illness | 6860 W Mississippi Ave Unit D, Lakewood, CO 80226 | 2012-12-12 |
| 1710253604 | The Center for Discovery & Adolescent Change | Community Based Residential Treatment Facility, Mental Illness | 4136 Ann Arbor Rd, Lakewood, CA 90712 | 2012-03-26 |
| 1578699450 | The New Future Dreams LLC | Community Based Residential Treatment Facility, Mental Illness | 127 7th St, Lakewood, NJ 08701-2859 | 2007-02-26 |
| 1518410828 | Kheyre and Moalim Corporation | Community Based Residential Treatment Facility, Mental Illness | 1398 Zephyr St, Lakewood, CO 80214-4269 | 2016-08-03 |
| 1285033803 | Matthew Philip Coston | Community Based Residential Treatment Facility, Mental Illness | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2014-08-20 |
| 1093999880 | Theresa Kay Scott | Community Based Residential Treatment Facility, Mental Illness | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2007-12-28 |
| 1497937148 | James Henry Miller | Community Based Residential Treatment Facility, Mental Illness | 9108 Lakewood Dr Sw, Lakewood, WA 98499-3949 | 2007-12-04 |
| 1265571442 | Ted Norris | Community Based Residential Treatment Facility, Mental Illness | 7290 W 14th Ave, Lakewood, CO 80214-4725 | 2007-02-05 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JON DAVID LAURITZEN.
| 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.