Organization Active NPI

Kairos Mental Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pueblo, CO
National Provider Identifier
1023685708
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KAIROS MENTAL HEALTH SERVICES LLC
Practice address
3 Woodbridge PL
Pueblo, CO 81001-1417
Phone
(719) 696-4921
NPI assigned
Jun 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Deshae BiegalskiNPI 1952627671
Title
Co-Ceo
Phone
(719) 696-4921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3 Woodbridge PL
Pueblo, CO 81001-1417

Mailing address

3 Woodbridge PL
Pueblo, CO 81001-1417
Phone (719) 696-4921

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1023685708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODBRIDGE PL",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011417",
            "telephone_number": "719-696-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOODBRIDGE PL",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011417",
            "telephone_number": "719-696-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "BIEGALSKI",
        "authorized_official_first_name": "DESHAE",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "719-696-4921"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.