1. Home
  2. Directory
  3. Colorado
  4. Castle Rock
  5. Clinic Center
  6. NPI Profile

BANYAN CASTLE ROCK, LLC
NPI 1386515351
Clinic/Center - Mental Health (Including Community Mental Health Center) in Castle Rock, CO

Active since September 15, 2025CLIA 06D2301370 · Waiver
1055 S PERRY ST, CASTLE ROCK, CO 80104(303) 381-8340(303) 381-8341 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Banyan Castle Rock, Llc NPPES

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

BANYAN CASTLE ROCK, LLC (NPI 1386515351) is a healthcare organization registered as a mental health (including community mental health center) in Castle Rock, Colorado and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Anastasia Nichole Nauman, Contracting & Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1386515351
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBANYAN CASTLE ROCK, LLC
Location Address1055 S PERRY STCastle Rock, CO 80104-1949
Mailing Address225 N Federal HwyPompano Beach, FL 33062-4319 · (954) 533-7705 · Fax (954) 781-7173
Phone(303) 381-8340
Fax(303) 381-8341
Organization SubpartNo
Authorized OfficialAnastasia Nichole NaumanContracting & Credentialing Manager · (954) 533-7705
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1386515351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1055 S PERRY ST, Castle Rock, CO 80104
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2301370

Banyan Castle Rock, LLC · Castle Rock, CO
Active · expires Mar 24, 2028
CLIA Number06D2301370
Laboratory TypeSud Treatment Center
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorDarrin Mangiacarne
Laboratory Phone(954) 533-7705
Laboratory LocationBanyan Castle Rock, LLC1055 S Perry St, Castle Rock, CO 80104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

FRANK WOTT
Nurse Practitioner (Psychiatric/Mental Health)
1055 S PERRY ST
CASTLE ROCK, CO 80104
Douglas County (720) 817-0640
BANYAN CASTLE ROCK, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1055 S PERRY ST
CASTLE ROCK, CO 80104
Douglas County (303) 381-8340
BANYAN CASTLE ROCK, LLC
Community Based Residential Treatment Facility, Mental Illness
1055 S PERRY ST
CASTLE ROCK, CO 80104
Douglas County (303) 381-8340
BANYAN CASTLE ROCK, LLC
Substance Abuse Rehabilitation Facility
1055 S PERRY ST
CASTLE ROCK, CO 80104
Douglas County (303) 381-8340

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 Banyan Castle Rock, LLC's NPI number?

The NPI number for Banyan Castle Rock, LLC is 1386515351. It was assigned to this organization in the NPPES registry on September 15, 2025.

Where is Banyan Castle Rock, LLC located?

Banyan Castle Rock, LLC is located at 1055 S Perry St, Castle Rock, CO 80104. The listed phone number is (303) 381-8340.

What is Banyan Castle Rock, LLC'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.

Does Banyan Castle Rock, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2301370) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Banyan Castle Rock, LLC was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.