Eagle Valley Mental Health
Organization Active NPI Community/Behavioral Health Agency · Edwards, CO
NPI 1063259158 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1063259158
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- EAGLE VALLEY MENTAL HEALTH
- Practice address
- 439 Edwards Access Rd
Edwards, CO 81632-5634 - Phone
- (970) 777-2850
- NPI assigned
- Jul 15, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Casey Leigh Angel
- Title
- Dir Community Behavioral Health
- Phone
- (970) 569-7765
Other NPIs on the same Medicare enrollment 8
Corporate family (same tax ID) 14
Practitioners 2
-
Christa Marie Aslanian, APRN
-
Matthew Paul Laycock, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Eagle Valley Behavioral Health
Locations
439 Edwards Access Rd
Ste B204
Edwards, CO 81632
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
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
- Eagle Valley Behavioral Health
Other providers in Edwards, CO
- Eagle County Health Service District
- Eagle County Health Service District
- Eagle County Health Service District
- Eagle River Dentistry
- Eagle Valley Counseling LLC
- Eagle Valley Mental Health
- Eagle Valley Mental Health
- Eagle Valley Mental Health
- Eagle Valley Mental Health
- Eagle Valley Mental Health
All providers in Edwards, CO · Community/Behavioral Health Agency in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.