Individual provider Active NPI

Kevin Law, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Junction, CO
National Provider Identifier
1003683111
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0999331 Issued in CO
Practice address
2478 Patterson Rd Ste 18
Grand Junction, CO 81505-3606
Phone
(800) 628-7828
Fax
(970) 639-4475
NPI assigned
Dec 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0999331 CO Primary

Addresses

Primary practice location

2478 Patterson Rd Ste 18
Grand Junction, CO 81505-3606

Mailing address

1006 N 5TH St
Grand Junction, CO 81501-7561
Phone (970) 640-4697

Other practice location 1

1006 N 5th St
Grand Junction, CO 81501-7561
Phone (970) 640-4697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227002219 CO Practitioner - Nurse Practitioner 6709236185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

641 Celestite Dr
Fruita, CO 81521-8408

702 W Drake Rd
Suite D
Fort Collins, CO 80526-5563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0999331COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Psychiatric/Mental Health Current Accepting new patients
Lifespan Psychiatry of Colorado Psychiatric/Mental Health PastSince Dec 1, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1003683111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 N 5TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017561",
            "telephone_number": "970-640-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD STE 18",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815053606",
            "telephone_number": "800-628-7828",
            "fax_number": "970-639-4475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815017561",
            "country_code": "US",
            "telephone_number": "970-640-4697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAW",
        "first_name": "KEVIN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0999331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.