JEFFERSON CENTER FOR MENTAL HEALTH
NPI 1639350879
Clinic/Center - Mental Health (Including Community Mental Health Center) in Evergreen, CO

NPI Status: Active since November 15, 2007

Contact Information

31207 KEATS WAY STE 202
EVERGREEN, CO
ZIP 80439
Phone: (303) 432-5300
Fax: (303) 432-5350

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About JEFFERSON CENTER FOR MENTAL HEALTH

This page provides the complete NPI Profile along with additional information for Jefferson Center For Mental Health, a provider established in Evergreen, Colorado operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1639350879 assigned on November 2007. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. David A Goff (Chief Financial Officer)

NPI
1639350879
Provider Name
JEFFERSON CENTER FOR MENTAL HEALTH
Entity Type
Organization
Location Address
31207 KEATS WAY STE 202 EVERGREEN, CO 80439
Location Phone
(303) 432-5300
Location Fax
(303) 432-5350
Mailing Address
4851 INDEPENDENCE ST STE 200 WHEAT RIDGE, CO 80033
Mailing Phone
(303) 425-0300
Mailing Fax
(303) 432-5350
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2007
Last Update Date
12-04-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAVID A GOFF

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(303) 432-5164

Reviews for JEFFERSON CENTER FOR MENTAL HEALTH

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639350879
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669650814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 5 + 0 + 8 + 1 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1639350879 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154627503JEFFERSON CENTER FOR MENTAL HEALTH
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)31207 KEATS WAY STE 202
EVERGREEN, CO 80439
(303) 432-5300
1174930093 MICHELE MARGARET BATTLE LPC, LAC
Individual
Counselor (Professional)31207 KEATS WAY STE 202
EVERGREEN, CO 80439
(303) 819-0956
1417225947MS. DEANNA RAE MCNAIRY MA
Individual
Counselor (Professional)31207 KEATS WAY STE 202
EVERGREEN, CO 80439
(303) 425-0300
1417295726 KARA JANE CAMPBELL LCSW
Individual
Social Worker (Clinical)31207 KEATS WAY STE 202
EVERGREEN, CO 80439
(303) 204-4962
1598166902 MARIE SYNCHEF LCSW
Individual
Social Worker (Clinical)31207 KEATS WAY STE 202
EVERGREEN, CO 80439
(303) 425-0300
1295398139 CHRISTINE MARGARET ELIZABETH LEWALLEN LPC
Individual
Counselor (Professional)31207 KEATS WAY STE 202
EVERGREEN, CO 80439
(303) 425-0300
1780435354MS. CANDACE KAY MCLUSKEY
Individual
Counselor (Mental Health)31207 KEATS WAY STE 202
EVERGREEN, CO 80439
(303) 425-0300
1144064742JEFFERSON CENTER FOR MENTAL HEALTH
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))31207 KEATS WAY STE 202
EVERGREEN, CO 80439
(303) 425-0300
1649814732MS. LAURIE HOLLAND LPC
Individual
Counselor (Professional)31207 KEATS WAY STE 202
EVERGREEN, CO 80439
(303) 838-7552
1184057358 MICHELLE K OHDE LCSW
Individual
Social Worker (Clinical)31207 KEATS WAY STE 202
EVERGREEN, CO 80439
(303) 838-7552
1134840275MRS. KIMBERLY ANNE WORSHAM LPC
Individual
Counselor (Professional)31207 KEATS WAY STE 202
EVERGREEN, CO 80439
(303) 425-0300
1770466468 KYLE O'REILLY
Individual
Counselor (Mental Health)31207 KEATS WAY STE 202
EVERGREEN, CO 80439
(303) 425-0300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639350879, enumerated in the NPI registry as an "organization" on November 15, 2007

The provider is located at 31207 Keats Way Ste 202 Evergreen, Co 80439 and the phone number is (303) 432-5300

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on November 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.