NPIMap

Organization Active NPI

Northern Horizon Behavioral Health

  • Mental Health Counselor
  • Johnstown, CO
National Provider Identifier
1073165296
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NORTHERN HORIZON BEHAVIORAL HEALTH
Practice address
109 N Rutherford Ave
Johnstown, CO 80534-8639
Phone
(970) 619-1920
Fax
(970) 449-7519
NPI assigned
Jul 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Brooke JohnsonNPI 1356162457
Title
Office Manager
Phone
(970) 534-1967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

109 N Rutherford Ave
Johnstown, CO 80534-8639

Mailing address

138 E 4TH St Ste 8
Loveland, CO 80537-5502
Phone (970) 619-1920

Other names 1

  • Northern Horizon 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
O20240924001049 CO Part B Supplier - Clinic/Group Practice 4486195906 Receives reassigned benefits from 1 practitioner
Practice locations: Greeley, CO; Loveland, CO

National Provider Directory

National Provider Directory
Tax ID family
Northern Horizon Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3400 W 16th St
Ste Yy
Greeley, CO 80634
Phone (970) 619-1920

1433 W 29th St
Loveland, CO 80538
Phone (970) 239-1173

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1073165296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E 4TH ST STE 8",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375502",
            "telephone_number": "970-619-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N RUTHERFORD AVE",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805348639",
            "telephone_number": "970-619-1920",
            "fax_number": "970-449-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN HORIZON BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2021-06-23",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-534-1967"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Horizon Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northern Horizon Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.