CLINICA FAMILY HEALTH AND WELLNESS
NPI 1558109223
Clinic/Center - Mental Health (Including Community Mental Health Center) in Longmont, CO
About Clinica Family Health And Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINICA FAMILY HEALTH AND WELLNESS (NPI 1558109223) is a healthcare organization registered as a mental health (including community mental health center) in Longmont, Colorado and active in the NPI registry since July 2024. The organization lists Brian J Johnston, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 3
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clinica Family Health And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
183Medicare enrollment records show 183 clinicians reassign Medicare billing to Clinica Family Health And Wellness, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 183Source: 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 Clinica Campesina Family Health Services's NPI number?
The NPI number for Clinica Campesina Family Health Services is 1558109223. It was assigned to this organization in the NPPES registry on July 17, 2024. The provider is doing business as Clinica Family Health And Wellness and Mental health Partners. The provider was formerly known as Mental Health Center of Boulder County, Inc..
Where is Clinica Campesina Family Health Services located?
Clinica Campesina Family Health Services is located at 834 S Sherman St, Longmont, CO 80501. The listed phone number is (303) 443-8500.
What is Clinica Campesina Family Health Services'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.
Is Clinica Campesina Family Health Services enrolled in Medicare?
Yes. Clinica Campesina Family Health Services is registered in the Medicare PECOS enrollment system.
When is Clinica Campesina Family Health Services's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Clinica Campesina Family Health Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 183 clinicians in 13 Medicare specialties reassign their Medicare billing to Clinica Campesina Family Health Services. 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. The largest specialties are Nurse Practitioner (62), Family Practice (47) and Mental Health Counselor (30). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Clinica Campesina Family Health Services was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Clinica Family Health And Wellness · NPI 1558109223
Mental Health (Including Community Mental Health Center) organization in Longmont, Colorado. Organization record, active in the CMS NPPES registry since July 17, 2024.
## Identity
- **NPI:** 1558109223 (Entity type: Organization)
- **Enumerated:** July 17, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Legal business name:** Clinica Campesina Family Health Services
- **Also known as:** Mental health Partners (Doing Business As); Mental Health Center of Boulder County, Inc. (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Brian Johnston, CFO
## Practice location
- **Address:** 834 S SHERMAN ST, Longmont, CO 80501-6323
- **Phone:** (303) 443-8500 · **Fax:** (720) 687-2752
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 183 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (62), Family Practice (47), Mental Health Counselor (30); 6 practice within 10 miles; [full list](https://npiprofile.com/npi/1558109223/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 17, 2024
- **Other identifiers:** Medicaid 43685030 (CO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1558109223) · Data from the CMS NPPES public registry.