JEFFERSON CENTER FOR MENTAL HEALTH
NPI 1154403798
Clinic/Center - Mental Health (Including Community Mental Health Center) in Wheat Ridge, CO

NPI Status: Active since October 20, 2006

Contact Information

4851 INDEPENDENCE ST
WHEAT RIDGE, CO
ZIP 80033
Phone: (303) 425-0300
Fax: (303) 432-5071

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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 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 1154403798 assigned on October 2006. 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 organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. David A Goff (Chief Financial Officer)

NPI
1154403798
Provider Name
JEFFERSON CENTER FOR MENTAL HEALTH
Entity Type
Organization
Location Address
4851 INDEPENDENCE ST WHEAT RIDGE, CO 80033
Location Phone
(303) 425-0300
Location Fax
(303) 432-5071
Mailing Address
4851 INDEPENDENCE ST STE 200 WHEAT RIDGE, CO 80033
Mailing Phone
(303) 425-0300
Mailing Fax
(303) 432-5071
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-20-2006
Last Update Date
01-13-2021
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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)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

560 (CO)
2251S00000XAgencies

Community/Behavioral Health

560 (CO)
3251S00000XAgencies

Community/Behavioral Health

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9000130227MEDICAID (05)CO 

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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.
1154403798
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104806718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 8 + 0 + 6 + 7 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1154403798 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MARIBETH EILEEN FLANAGAN LPC

Counselor

(Professional)

4851 INDEPENDENCE ST
SUITE 200
WHEAT RIDGE, CO
ZIP 80033

(303) 432-5101

MATTHEW B ENRIGHT PSY.D.

Psychologist

(Counseling)

4851 INDEPENDENCE ST
SUITE 200
WHEAT RIDGE, CO
ZIP 80033

(303) 425-0300

MRS. NANCY ANN WALSER BSW

Counselor

(Mental Health)

4851 INDEPENDENCE ST
SUITE 200
WHEAT RIDGE, CO
ZIP 80033

(303) 432-5518

MRS. CARLA C ALLEN BA

Counselor

(Mental Health)

4851 INDEPENDENCE ST
SUITE 200
WHEAT RIDGE, CO
ZIP 80033

(303) 432-5506

MRS. CARRIE ANNE LINDBERG LPC

Counselor

(Professional)

4851 INDEPENDENCE ST
SUITE 200
WHEAT RIDGE, CO
ZIP 80033

(303) 432-5500

MS. SHERYL D WURTELE BA

Counselor

(Mental Health)

4851 INDEPENDENCE ST
SUITE 200
WHEAT RIDGE, CO
ZIP 80033

(303) 432-5521

DR. HARRIET LOUISE HALL PH.D.

Psychologist

(Clinical)

4851 INDEPENDENCE ST
SUITE 200
WHEAT RIDGE, CO
ZIP 80033

(303) 425-0300

MR. ROBERT JAMES WORTH LCSW

Social Worker

(Clinical)

4851 INDEPENDENCE ST
SUITE 200
WHEAT RIDGE, CO
ZIP 80033

(303) 432-5230

MRS. KRISTEN DUBOC THOME MSW

Social Worker

(Clinical)

4851 INDEPENDENCE ST
SUITE 189
WHEAT RIDGE, CO
ZIP 80033

(303) 432-5139

MS. WAVIA L GRUBAUGH MA

Counselor

(Mental Health)

4851 INDEPENDENCE ST
SUITE 200
WHEAT RIDGE, CO
ZIP 80033

(303) 432-5522

MR. THOMAS P OLBRICH LCSW

Social Worker

(Clinical)

4851 INDEPENDENCE ST
SUITE 200
WHEAT RIDGE, CO
ZIP 80033

(303) 432-5503

DONALD W BECHTOLD MD

Psychiatry & Neurology

(Child & Adolescent Psychiatry)

4851 INDEPENDENCE ST
70 EXECUTIVE CENTER, SUITE 200
WHEAT RIDGE, CO
ZIP 80033

(303) 432-5169

HOMER TURNER M.D.

Psychiatry & Neurology

(Child & Adolescent Psychiatry)

4851 INDEPENDENCE ST
WHEAT RIDGE, CO
ZIP 80033

(303) 425-0300

DR. ELISSA RAE STEIN PH.D.

Psychologist

4851 INDEPENDENCE ST
WHEAT RIDGE, CO
ZIP 80033

(303) 432-5205

MS. SUSAN KAY RUDY LPC

Counselor

(Mental Health)

4851 INDEPENDENCE ST
SUITE 200
WHEAT RIDGE, CO
ZIP 80033

(303) 432-5113

LISA LEE ELSEY MA LPC

Counselor

(Mental Health)

4851 INDEPENDENCE ST
SUITE 200
WHEAT RIDGE, CO
ZIP 80033

(303) 425-0300

MS. ERIN MICHELLE LINEHAN

Counselor

4851 INDEPENDENCE ST
SUITE 200
WHEAT RIDGE, CO
ZIP 80033

(303) 425-0300

MS. JULIE R VANRYSWYK LCSW

Social Worker

(Clinical)

4851 INDEPENDENCE ST
WHEAT RIDGE, CO
ZIP 80033

(303) 432-5509

JAMES L STEVENS LCSW

Social Worker

(Clinical)

4851 INDEPENDENCE ST
STE 270
WHEAT RIDGE, CO
ZIP 80033

(303) 338-4545

MRS. ELAINNA COLEMAN LCSW

Social Worker

(Clinical)

4851 INDEPENDENCE ST
SUITE 200
WHEAT RIDGE, CO
ZIP 80033

(303) 432-5507

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154403798, enumerated as an "organization" on October 20, 2006.

The provider is located at 4851 INDEPENDENCE ST 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).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.