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COLORADO BOYS RANCH FOUNDATION NPI 1083749881


NPI Information

NPI: 1083749881
Provider Name: COLORADO BOYS RANCH FOUNDATION
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
12567 W CEDAR DR STE 210
LAKEWOOD, CO
ZIP 80228
Phone: (303) 691-6095
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COLORADO BOYS RANCH FOUNDATION is a counselor in Lakewood, CO. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. COLORADO BOYS RANCH FOUNDATION NPI is 1083749881. The provider is registered as an organization entity type.

The provider's business location address is:

12567 W CEDAR DR STE 210
LAKEWOOD, CO
ZIP 80228-009
Phone: (303) 691-6095
Fax: (303) 376-6372

The provider's authorized official is Tom Rose .
The authorized official title is Ceo and has the following contact phone number (303) 691-6095.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 5/3/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
4101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10016029700001MEDICAIDPENNSYLVANIA
21532032MEDICAIDCOLORADO
3000207250MEDICAIDVIRGINIA
44101658MEDICAIDMONTANA
58271909MEDICAIDNEW JERSEY
6116119901MEDICAIDWYOMING
7HS375PIMEDICAIDALASKA
8000E1265MEDICAIDNEW MEXICO
9034723300MEDICAIDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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