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INDIVIDUAL PROVIDER
NPI 1821479122
Residential Treatment Facility, Emotionally Disturbed Children in Denver, CO

Active since June 11, 2015
4159 LOWELL BLVD, DENVER, CO 80211(303) 458-7220 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Individual Provider NPPES

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

INDIVIDUAL PROVIDER (NPI 1821479122) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Denver, Colorado and active in the NPI registry since June 2015. The organization lists Alicia D Leto, Therapist, as its authorized official.

NPPES Registry Identity

NPI1821479122
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameINDIVIDUAL PROVIDER
Location Address4159 LOWELL BLVDDenver, CO 80211-1658
Mailing Address2800 Kalmia Ave, #a204Boulder, CO 80301-1542 · (970) 618-6796
Phone(303) 458-7220
Organization SubpartNo
Authorized OfficialAlicia D LetoTherapist · (970) 618-6796
Enumeration DateJune 11, 2015
✔ NPI 1821479122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in CO · NLC.0105326
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
4159 LOWELL BLVD, Denver, CO 80211
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Other Providers at the Same Location NPPES 20

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

OLIVIA HOLT LPC
Counselor (Mental Health)
4159 LOWELL BLVD
DENVER, CO 80211
Denver County (303) 318-1799
NICOLE SCHRYVER
Social Worker (Clinical)
4159 LOWELL BLVD
DENVER, CO 80211
Denver County (303) 458-7220
MOUNT ST. VINCENT HOME
Residential Treatment Facility, Emotionally Disturbed Children
4159 LOWELL BLVD
DENVER, CO 80211
Denver County (303) 458-7220
KAYLEE MICHELLE JEFFREY LCSW
Social Worker (Clinical)
4159 LOWELL BLVD
DENVER, CO 80211
Denver County (303) 458-7220
ALISA ADAMS LPC
Counselor (Professional)
4159 LOWELL BLVD
DENVER, CO 80211
Denver County (303) 458-7220
KIRK WARD LCSW
Social Worker (Clinical)
4159 LOWELL BLVD
DENVER, CO 80211
Denver County (303) 458-7220
MOUNT SAINT VINCENT HOME
Residential Treatment Facility, Emotionally Disturbed Children
4159 LOWELL BLVD
DENVER, CO 80211
Denver County (303) 458-7220
MOUNT ST. VINCENT HOME
Residential Treatment Facility, Emotionally Disturbed Children
4159 LOWELL BLVD
DENVER, CO 80211
Denver County (303) 458-7220

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 Individual Provider's NPI number?

The NPI number for Individual Provider is 1821479122. It was assigned to this organization in the NPPES registry on June 11, 2015.

Where is Individual Provider located?

Individual Provider is located at 4159 Lowell Blvd, Denver, CO 80211. The listed phone number is (303) 458-7220.

What is Individual Provider's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Individual Provider was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.