JCMH INDY CORNER - C
NPI 1104660794
Clinic/Center - Mental Health (Including Community Mental Health Center) in Wheat Ridge, CO

Active since June 19, 2024
9595 W 49TH AVE, WHEAT RIDGE, CO 80033(303) 425-0300 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

About JCMH INDY CORNER - C

This page provides the complete NPI Profile along with additional information for Jcmh Indy Corner - C, a provider established in Wheat Ridge, 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 1104660794 assigned on June 2024. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Jcmh Indy Corner - C. The authorized official of this NPI record is David Allen Goff (Chief Financial Officer)

NPI
1104660794 Verify this NPI
Provider Legal Name
JEFFERSON CENTER FOR MENTAL HEALTH
Other Organization Name
JCMH INDY CORNER - C
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
9595 W 49TH AVE WHEAT RIDGE, CO 80033
Location Phone
(303) 425-0300
Mailing Address
4851 INDEPENDENCE ST WHEAT RIDGE, CO 80033
Mailing Phone
(303) 425-0300
Mailing Fax
(303) 432-5071
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-19-2024
Last Update Date
06-19-2024
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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

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

DAVID ALLEN GOFF

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

Reviews for JCMH INDY CORNER - C

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Counselor (Mental Health)
9595 W 49TH AVE
WHEAT RIDGE, CO 80033
Social Worker (Clinical)
9595 W 49TH AVE
WHEAT RIDGE, CO 80033
Counselor (Mental Health)
9595 W 49TH AVE
WHEAT RIDGE, CO 80033
Clinic/Center (Mental Health (Including Community Mental Health Center))
9595 W 49TH AVE
WHEAT RIDGE, CO 80033
Clinic/Center (Rehabilitation, Substance Use Disorder)
9595 W 49TH AVE
WHEAT RIDGE, CO 80033
Social Worker
9595 W 49TH AVE
WHEAT RIDGE, CO 80033
Counselor (Professional)
9595 W 49TH AVE
WHEAT RIDGE, CO 80033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104660794, enumerated as an "organization" on June 19, 2024.

The provider is located at 9595 W 49TH AVE WHEAT RIDGE, CO 80033 and the phone number is (303) 425-0300.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).