Organization Active NPI

All Seasons Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Golden, CO
National Provider Identifier
1043917230
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
16452313MedicaidCO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.