Active NPI
All Seasons Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Golden, CO
National Provider Identifier
1043917230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ALL SEASONS PSYCHIATRY LLC
- Practice address
- 710 10TH St # 220
Golden, CO 80401-5835 - Phone
- (303) 335-0707
- NPI assigned
- Feb 8, 2023
- Last updated
- Feb 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Reiss, PMHNP, FNP
- Title
- Provider
- Phone
- (303) 335-0707
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
710 10TH St # 220
Golden, CO 80401-5835
Mailing address
1100 Johnson Rd Unit 18611
Golden, CO 80402-7306
Phone (303) 335-0707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16452313 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
1100 Johnson Rd
Unit 18611
Golden, CO 80402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677110400000",
"number": "1043917230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 JOHNSON RD UNIT 18611",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804027306",
"telephone_number": "303-335-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 10TH ST # 220",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804015835",
"telephone_number": "303-335-0707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL SEASONS PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-08",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A",
"authorized_official_last_name": "REISS",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "303-335-0707",
"authorized_official_credential": "PMHNP, FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16452313",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.