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JEFFERSON CENTER FOR MENTAL HEALTH NPI 1215059860


NPI Information

NPI: 1215059860
Provider Name: JEFFERSON CENTER FOR MENTAL HEALTH
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 06D0514461

Address:
9485 W COLFAX AVE
LAKEWOOD, CO
ZIP 80215
Phone: (303) 425-0300
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JEFFERSON CENTER FOR MENTAL HEALTH is a mental health (including community mental health center) clinic center in Lakewood, CO. JEFFERSON CENTER FOR MENTAL HEALTH NPI is 1215059860. The provider is registered as an organization entity type.

The provider's business location address is:

9485 W COLFAX AVE
LAKEWOOD, CO
ZIP 80215-918
Phone: (303) 425-0300
Fax: (303) 432-5071

The provider's authorized official is David A Goff .
The authorized official title is Chief Financial Officer and has the following contact phone number (303) 432-5164.

The CLIA number assigned to this NPI record is 06D0514461 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/4/2007 and was last updated on 12/4/2020.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)84143COLORADONo

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
161175234MEDICAIDCOLORADO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.