NPIMap

Organization Active NPI

Mo Smiles LLC

  • Professional Counselor
  • Westminster, CO
National Provider Identifier
1063808798
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MO SMILES LLC
Practice address
8461 Turnpike Dr Ste 203
Westminster, CO 80031-4379
Phone
(720) 627-7734
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Jenifer Candelas
Title
Owner
Phone
(720) 277-8251

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X

Addresses

Primary practice location

8461 Turnpike Dr Ste 203
Westminster, CO 80031-4379

Mailing address

8461 Turnpike Dr
Suite #203
Westminster, CO 80031-4376
Phone (720) 277-8251

Other identifiers 1

IdentifierTypeStateIssuer
78289734MedicaidCO

Other names 1

  • Balanced Mind Counseling Doing business as

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

8461 Turnpike Dr
Ste 203
Westminster, CO 80031
Phone (303) 214-2106

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1063808798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8461 TURNPIKE DR",
            "address_2": "SUITE #203",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800314376",
            "telephone_number": "720-277-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8461 TURNPIKE DR STE 203",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800314379",
            "telephone_number": "720-627-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MO SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "CANDELAS",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-277-8251"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78289734",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Mind Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.