NPIMap

Organization Active NPI

Kaiser Foundation Health Plan of Colorado

Doing business as Executive Center MH

  • Multi-Specialty Clinic/Center
  • Wheat Ridge, CO
National Provider Identifier
1003920786
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KAISER FOUNDATION HEALTH PLAN OF COLORADO
Doing business as
Executive Center MH
Practice address
70 Executive Center II
4851 Independence Street Suite 270
Wheatridge, CO 80033
Phone
(303) 467-5850
NPI assigned
Aug 18, 2006
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KAISER PERMANENTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Cortney A Eisses
Title
Regional President
Phone
(303) 957-8351

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

70 Executive Center II
4851 Independence Street Suite 270
Wheatridge, CO 80033

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314

Other names 1

  • Executive Center MH Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Kaiser96 organizations share this tax ID, including this one
Part of
Kaiser

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

4851 Independence St
Ste 270
Wheat Ridge, CO 80033
Phone (303) 467-5767

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1003920786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 E DAKOTA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802471314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 EXECUTIVE CENTER II",
            "address_2": "4851 INDEPENDENCE STREET SUITE 270",
            "city": "WHEATRIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-467-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HEALTH PLAN OF COLORADO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAISER PERMANENTE",
        "enumeration_date": "2006-08-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "EISSES",
        "authorized_official_first_name": "CORTNEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "REGIONAL PRESIDENT",
        "authorized_official_telephone_number": "303-957-8351"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "CAREQUALITY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "70 Executive Center II",
            "address_2": "4851 Independence Street Suite 270",
            "city": "Wheatridge",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Executive Center MH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Executive Center MH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.