CENTENNIAL MENTAL HEALTH CENTER, INC.
NPI 1003673526
Community/Behavioral Health in Cheyenne Wells, CO
About Centennial Mental Health Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTENNIAL MENTAL HEALTH CENTER, INC. (NPI 1003673526) is a healthcare organization registered as a community/behavioral health in Cheyenne Wells, Colorado and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Sherri Davidson, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centennial Mental Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
32Medicare enrollment records show 32 clinicians reassign Medicare billing to Centennial Mental Health Center, Inc., which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 32Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 06D2238995
Centennial Mental Health Center, Inc · Sterling, COFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Centennial Mental Health Center, Inc.'s NPI number?
The NPI number for Centennial Mental Health Center, Inc. is 1003673526. It was assigned to this organization in the NPPES registry on March 1, 2024.
Where is Centennial Mental Health Center, Inc. located?
Centennial Mental Health Center, Inc. is located at 80 E 1st St N, Cheyenne Wells, CO 80810. The listed phone number is (719) 346-8183.
What is Centennial Mental Health Center, Inc.'s specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Centennial Mental Health Center, Inc. enrolled in Medicare?
Yes. Centennial Mental Health Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centennial Mental Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 4 Medicare specialties reassign their Medicare billing to Centennial Mental Health Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (15), Clinical Social Worker (10) and Nurse Practitioner (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Centennial Mental Health Center, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2238995) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Centennial Mental Health Center, Inc. was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Centennial Mental Health Center, Inc. · NPI 1003673526
Community/Behavioral Health organization in Cheyenne Wells, Colorado. Organization record, active in the CMS NPPES registry since March 1, 2024.
## Identity
- **NPI:** 1003673526 (Entity type: Organization)
- **Enumerated:** March 1, 2024
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Sherri Davidson, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 80 E 1ST ST N, Cheyenne Wells, CO 80810-5008
- **Phone:** (719) 346-8183
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 32 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (15), Clinical Social Worker (10), Nurse Practitioner (5); [full list](https://npiprofile.com/npi/1003673526/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003673526) · Data from the CMS NPPES public registry.