MIKID
NPI 1336800341
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pueblo, CO

Active since January 03, 2022
115 E RIVERWALK UNIT 110, PUEBLO, CO 81003(602) 252-1240(602) 840-3409 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2024, May 30, 2023, Feb 16, 2022 and 1 more (4 updates tracked since 2022).

About Mikid NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKID (NPI 1336800341) is a healthcare organization registered as a mental health (including community mental health center) in Pueblo, Colorado and active in the NPI registry since January 2022. The organization lists Jeff Kazmierczak, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336800341
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMENTALLY ILL KIDS IN DISTRESS
Location Address115 E RIVERWALK UNIT 110Pueblo, CO 81003-3308
Mailing Address7816 N 19th AvePhoenix, AZ 85021-7036 · (602) 253-1240 · Fax (602) 840-3409
Fax(602) 840-3409
Organization SubpartNo
Authorized OfficialJeff KazmierczakCeo · (602) 253-1240
Enumeration DateJanuary 3, 2022
Last NPPES UpdateAugust 14, 20244 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
NPI 1336800341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
115 E RIVERWALK UNIT 110, Pueblo, CO 81003

Other Names 1

Doing Business AsMikid

Frequently 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 Mentally Ill Kids In Distress's NPI number?

The NPI number for Mentally Ill Kids In Distress is 1336800341. It was assigned to this organization in the NPPES registry on January 3, 2022. The provider is doing business as Mikid.

Where is Mentally Ill Kids In Distress located?

Mentally Ill Kids In Distress is located at 115 E Riverwalk Unit 110, Pueblo, CO 81003. The listed phone number is (602) 252-1240.

What is Mentally Ill Kids In Distress's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Mentally Ill Kids In Distress was last updated on August 14, 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.