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SOUTH TABLE WELLNESS
NPI 1386387975
Clinic/Center - Adult Mental Health in Lakewood, CO

Active since April 20, 2022
2550 YOUNGFIELD ST # 4, LAKEWOOD, CO 80215(720) 324-7939 Get Directions Write a Review

NPPES record last updated: February 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2022, Apr 20, 2022 (2 updates tracked since 2022).

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

NPI1386387975
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameSOUTH TABLE WELLNESS
Location Address2550 YOUNGFIELD ST # 4Lakewood, CO 80215-1033
Mailing Address2903 Lookout View DrGolden, CO 80401-2521 · (720) 324-7939
Phone(720) 324-7939
Organization SubpartNo
Authorized OfficialJaclyn Ripperger-harrellManaging Member · (720) 324-7939
Enumeration DateApril 20, 2022
Last NPPES UpdateFebruary 3, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2024
✔ NPI 1386387975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2550 YOUNGFIELD ST # 4, Lakewood, CO 80215
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACLYN RIPPERGER-HARRELL LCSW
Social Worker (Clinical)
2550 YOUNGFIELD ST # 4
LAKEWOOD, CO 80215
Jefferson County (720) 324-7939

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.

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.