LIFESPAN PSYCHIATRY OF COLORADO
NPI 1689409005
Clinic/Center - Mental Health (Including Community Mental Health Center) in Montrose, CO
About Lifespan Psychiatry Of Colorado NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFESPAN PSYCHIATRY OF COLORADO (NPI 1689409005) is a healthcare organization registered as a mental health (including community mental health center) in Montrose, Colorado and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Carrie Shahbahrami, Pmhnp, 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)
Lifespan Psychiatry Of Colorado is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Lifespan Psychiatry Of Colorado, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 06D2205386
Lifespan Psychiatry Of Colorado · Grand Junction, COFrequently 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 Lifespan Psychiatry Of Colorado's NPI number?
The NPI number for Lifespan Psychiatry Of Colorado is 1689409005. It was assigned to this organization in the NPPES registry on September 5, 2024.
Where is Lifespan Psychiatry Of Colorado located?
Lifespan Psychiatry Of Colorado is located at 300 N Townsend Ave, Montrose, CO 81401. The listed phone number is (970) 579-0003.
What is Lifespan Psychiatry Of Colorado'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 Lifespan Psychiatry Of Colorado enrolled in Medicare?
Yes. Lifespan Psychiatry Of Colorado is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifespan Psychiatry Of Colorado?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Lifespan Psychiatry Of Colorado. 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 (7), Mental Health Counselor (4) and Clinical Social Worker (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lifespan Psychiatry Of Colorado hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2205386) is associated with this NPI, valid through December 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Lifespan Psychiatry Of Colorado was last updated on September 5, 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.
# Lifespan Psychiatry Of Colorado · NPI 1689409005
Mental Health (Including Community Mental Health Center) organization in Montrose, Colorado. Organization record, active in the CMS NPPES registry since September 5, 2024.
## Identity
- **NPI:** 1689409005 (Entity type: Organization)
- **Enumerated:** September 5, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** Yes (part of Lifespan Psychiatry Of Colorado)
- **Authorized official:** Carrie Shahbahrami, PMHNP
## Practice location
- **Address:** 300 N TOWNSEND AVE, Montrose, CO 81401-3554
- **Phone:** (970) 579-0003
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Mental Health Counselor (4), Clinical Social Worker (2); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 5, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689409005) · Data from the CMS NPPES public registry.