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COLLABORATIVE SERVICE FOR CHANGE PC
NPI 1902350788
Community/Behavioral Health in Denver, CO

Active since August 09, 2016
2480 W 26TH AVE, SUITE 130B, DENVER, CO 80211(303) 433-0188(303) 433-6145 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Collaborative Service For Change Pc NPPES

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

COLLABORATIVE SERVICE FOR CHANGE PC (NPI 1902350788) is a healthcare organization registered as a community/behavioral health in Denver, Colorado and active in the NPI registry since August 2016. The organization lists Jeff Richard Kisicki, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1902350788
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOLLABORATIVE SERVICE FOR CHANGE PC
Location Address2480 W 26TH AVE, SUITE 130BDenver, CO 80211-5309
Mailing Address2480 W 26th Ave, Suite 130bDenver, CO 80211-5309 · (303) 433-0188 · Fax (303) 433-6145
Phone(303) 433-0188
Fax(303) 433-6145
Organization SubpartNo
Authorized OfficialJeff Richard KisickiExecutive Director · (303) 433-0188
Enumeration DateAugust 9, 2016
✔ NPI 1902350788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CO · 992298
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2480 W 26TH AVE, Denver, CO 80211
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Other Identifiers 1

Medicaid42427851CO

Other Providers at the Same Location NPPES 5

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

DR. CYNTHIA ANN JOHNSRUD PSYD
Registered Nurse
2480 W 26TH AVE, STE 10B
DENVER, CO 80211
Denver County (303) 397-0207
GEORGE V SCHAKARASCHWILI MD
Physical Medicine & Rehabilitation
2480 W 26TH AVE, BLDG B SUITE 90
DENVER, CO 80211
Denver County (303) 731-2292
BAYADA HOME HEALTH CARE, INC.
Home Health
2480 W 26TH AVE, SUITE 26-B
DENVER, CO 80211
Denver County (720) 855-6100
ROCKY MOUNTAIN REHABILITATION ASSOCIATES, PC
Physical Medicine & Rehabilitation
2480 W 26TH AVE, SUITE 90 B
DENVER, CO 80211
Denver County (303) 731-2292
ETHAN SWIFT MD
Psychiatry & Neurology (Psychiatry)
2480 W 26TH AVE, SUITE 200B
DENVER, CO 80211
Denver County (303) 467-4162

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 Collaborative Service For Change PC's NPI number?

The NPI number for Collaborative Service For Change PC is 1902350788. It was assigned to this organization in the NPPES registry on August 9, 2016.

Where is Collaborative Service For Change PC located?

Collaborative Service For Change PC is located at 2480 W 26th Ave Suite 130B, Denver, CO 80211. The listed phone number is (303) 433-0188.

What is Collaborative Service For Change PC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Collaborative Service For Change PC was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.