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

NPI Status: Active since August 09, 2016

Contact Information

2480 W 26TH AVE
SUITE 130B
DENVER, CO
ZIP 80211
Phone: (303) 433-0188
Fax: (303) 433-6145

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  • Organization
  • Community/Behavioral Health

About COLLABORATIVE SERVICE FOR CHANGE PC

This page provides the complete NPI Profile along with additional information for Collaborative Service For Change Pc, a provider established in Denver, Colorado operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1902350788 assigned on August 2016. The practitioner's primary taxonomy code is 251S00000X with license number 992298 (CO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Jeff Richard Kisicki Lcsw (Executive Director)

NPI
1902350788
Provider Name
COLLABORATIVE SERVICE FOR CHANGE PC
Entity Type
Organization
Location Address
2480 W 26TH AVE SUITE 130B DENVER, CO 80211
Location Phone
(303) 433-0188
Location Fax
(303) 433-6145
Mailing Address
2480 W 26TH AVE SUITE 130B DENVER, CO 80211
Mailing Phone
(303) 433-0188
Mailing Fax
(303) 433-6145
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2016
Last Update Date
08-09-2016
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
992298
License State
CO
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JEFF RICHARD KISICKI LCSW

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(303) 433-0188

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
42427851MEDICAID (05)CO 

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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 1902350788, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
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 0 → 0 3 → 6 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 + 9 + 0 + 2 + 6 + 5 + 0 + 7 + 1 + 6 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1902350788.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
2480 W 26TH AVE, SUITE 200B
DENVER, CO 80211
Home Health
2480 W 26TH AVE, SUITE 26-B
DENVER, CO 80211
Physical Medicine & Rehabilitation
2480 W 26TH AVE, SUITE 90 B
DENVER, CO 80211
Physical Medicine & Rehabilitation
2480 W 26TH AVE, BLDG B SUITE 90
DENVER, CO 80211
Registered Nurse
2480 W 26TH AVE, STE 10B
DENVER, CO 80211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902350788, enumerated as an "organization" on August 09, 2016.

The provider is located at 2480 W 26TH AVE SUITE 130B DENVER, CO 80211 and the phone number is (303) 433-0188.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.