NPIMap

Organization Active NPI

Mo Smiles LLC

  • Mental Health Counselor
  • Sedalia, CO
National Provider Identifier
1043135643
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MO SMILES LLC
Practice address
6359 Airport Rd
Sedalia, CO 80135-8840
Phone
(720) 627-7734
NPI assigned
Aug 12, 2026
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Justin Terry Candelas
Title
Manager
Phone
(303) 582-4157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6359 Airport Rd
Sedalia, CO 80135-8840

Mailing address

6359 Airport Rd
Sedalia, CO 80135-8840
Phone (720) 627-7734

National Provider Directory

National Provider Directory
Tax ID family
Balanced Mind Counseling8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6359 Airport Rd
Sedalia, CO 80135
Phone (720) 627-7734

NPI Registry JSON

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1043135643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6359 AIRPORT RD",
            "city": "SEDALIA",
            "state": "CO",
            "postal_code": "801358840",
            "telephone_number": "720-627-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6359 AIRPORT RD",
            "city": "SEDALIA",
            "state": "CO",
            "postal_code": "801358840",
            "telephone_number": "720-627-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MO SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "CANDELAS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-582-4157"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.