JEFFERSON CENTER FOR MENTAL HEALTH NPI 1720220916

NPI Information

NPI: 1720220916
Provider Name: JEFFERSON CENTER FOR MENTAL HEALTH
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
7828 VANCE DR
ARVADA, CO
ZIP 80003
Phone: (303) 432-5700
Get Directions

JEFFERSON CENTER FOR MENTAL HEALTH is a rehabilitation and substance use disorder clinic center in Arvada, CO. JEFFERSON CENTER FOR MENTAL HEALTH NPI is 1720220916. The provider is registered as an organization entity type.

The provider's business location address is:

7828 VANCE DR
ARVADA, CO
ZIP 80003-124
Phone: (303) 432-5700
Fax: (303) 432-5790

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 enumeration date for this NPI number is 4/2/2009 and was last updated on 9/21/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	150413	COLORADO	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9000157888	MEDICAID	COLORADO

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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »