JEFFERSON CENTER FOR MENTAL HEALTH
NPI 1558020784
Clinic/Center - Mental Health (Including Community Mental Health Center) in Conifer, CO

NPI Status: Active since December 15, 2021

Contact Information

11030 KITTY DR
CONIFER, CO
ZIP 80433
Phone: (303) 838-7552
Fax: (303) 432-5071

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • CLIA Number: 06D1085617
  • CLIA Cert. Type: Other - COMM HEALTH CENTER
  • CLIA Exp. Date: 06-22-2026

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 Conifer, 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 1558020784 assigned on December 2021. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. David Goff (Chief Financial Officer)

NPI
1558020784
Provider Name
JEFFERSON CENTER FOR MENTAL HEALTH
Entity Type
Organization
Location Address
11030 KITTY DR CONIFER, CO 80433
Location Phone
(303) 838-7552
Location Fax
(303) 432-5071
Mailing Address
4851 INDEPENDENCE ST WHEAT RIDGE, CO 80033
Mailing Phone
(303) 425-0300
Mailing Fax
(303) 432-5071
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-15-2021
Last Update Date
12-15-2021
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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

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 GOFF

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(303) 432-5164

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D1085617
Facility Type
Other - COMM HEALTH CENTER
Certificate Effective Date
June 23, 2024
Certificate Expiration Date
June 22, 2026
Laboratory Director
DR. KIARA KUENZLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jefferson Center For Mental Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1558020784, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 0 → 0 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 0 + 2 + 0 + 7 + 1 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1558020784.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Rehabilitation, Substance Use Disorder)
11030 KITTY DR
CONIFER, CO 80433

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558020784, enumerated as an "organization" on December 15, 2021.

The provider is located at 11030 KITTY DR CONIFER, CO 80433 and the phone number is (303) 838-7552.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).