NPIMap

Organization Active NPI

Eagle Valley Mental Health

Doing business as Eagle Valley Behavioral Health

  • Community/Behavioral Health Agency
  • Edwards, CO
National Provider Identifier
1063259158
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EAGLE VALLEY MENTAL HEALTH
Doing business as
Eagle Valley Behavioral Health
Practice address
439 Edwards Access Rd
Edwards, CO 81632-5634
Phone
(970) 777-2850
NPI assigned
Jul 15, 2024
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Dr. Casey Leigh AngelNPI 1568614865
Title
Dir Community Behavioral Health
Phone
(970) 569-7765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

439 Edwards Access Rd
Edwards, CO 81632-5634

Mailing address

PO Box 843056
Kansas City, MO 64184-5036
Phone (970) 777-2850

Other names 1

  • Eagle Valley Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230803002737 CO Part B Supplier - Clinic/Group Practice 6204297450 Receives reassigned benefits from 49 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Edwards, CO; Vail, CO; Dillon, CO

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Eagle Valley Behavioral Health15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

439 Edwards Access Rd
Ste B204
Edwards, CO 81632

Practitioners & affiliated clinicians

Practitioners 3

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": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1063259158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843056",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641845036",
            "telephone_number": "970-777-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 EDWARDS ACCESS RD",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816325634",
            "telephone_number": "970-777-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE VALLEY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "ANGEL",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "DIR COMMUNITY BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "970-569-7765",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Valley Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.