SOUTH TABLE WELLNESS
NPI 1386387975
Clinic/Center - Adult Mental Health in Lakewood, CO
About South Table Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH TABLE WELLNESS (NPI 1386387975) is a healthcare organization registered as an adult mental health in Lakewood, Colorado and active in the NPI registry since April 2022. The organization lists Jaclyn Ripperger-harrell, Managing Member, 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)
South Table Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to South Table Wellness, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 South Table Wellness's NPI number?
The NPI number for South Table Wellness is 1386387975. It was assigned to this organization in the NPPES registry on April 20, 2022.
Where is South Table Wellness located?
South Table Wellness is located at 2550 Youngfield St # 4, Lakewood, CO 80215. The listed phone number is (720) 324-7939.
What is South Table Wellness's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is South Table Wellness enrolled in Medicare?
Yes. South Table Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Table Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to South Table Wellness. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for South Table Wellness was last updated on February 3, 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.
# South Table Wellness · NPI 1386387975
Adult Mental Health organization in Lakewood, Colorado. Organization record, active in the CMS NPPES registry since April 20, 2022.
## Identity
- **NPI:** 1386387975 (Entity type: Organization)
- **Enumerated:** April 20, 2022
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Jaclyn Ripperger-Harrell, MANAGING MEMBER
## Practice location
- **Address:** 2550 YOUNGFIELD ST # 4, Lakewood, CO 80215-1033
- **Phone:** (720) 324-7939
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1386387975) · Data from the CMS NPPES public registry.