Vcphcs X, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1597-01 Issued in CO

Legal business name

VCPHCS X, LLC

Doing business as

BHG Longmont Treatment Center

Practice address

850 23Rd Ave
Unit a
Longmont, CO 80501

Phone

(303) 245-0123

Fax

(303) 245-0119

NPI assigned

Jun 17, 2008

Last updated

Dec 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jemece Michelle Gasaway

Title

Director of Licensing

Phone

(214) 365-6126

Specialties & licenses 3

Addresses

Other names 1

• BHG Longmont Treatment Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 2

Other NPIs on the same Medicare enrollment 3

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

• Vcphcs X LLC

  dba BHG Fort Collins Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Collins, CO
  • NPI 1528787181

  O20151020000700

  Same enrollment
• Vcphcs X, LLC

  dba BHG Longmont Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Longmont, CO
  • NPI 1831817048

  O20151020000700

  Same enrollment
• Vcphcs X, LLC

  dba BHG Fort Collins Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Collins, CO
  • NPI 1972056547

  O20151020000700, O20200107000050

  Same enrollment

Locations

Practitioners 8

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.

• Sharon A Pendlebury, LCSW

  • Clinical Social Worker
  • Greeley, CO
  • NPI 1811953482
  NPD
• Erin Slocum, FNP-C

  • Nurse Practitioner
  • Fort Collins, CO
  • NPI 1457922601
  NPD
• Laura KG Sommerschield, FNP-C

  • Family Nurse Practitioner
  • Louisville, CO
  • NPI 1700262607
  NPD
• Jean Thomas, PA

  • Physician Assistant
  • Westminster, CO
  • NPI 1427595610
  NPD
• Jeffrey Alan Harmon, PA-C

  • Physician Assistant
  • Anchorage, AK
  • NPI 1417388745
  NPD
• Natasha K Moore, DO

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1417274739
  NPD
• Matthew E Perdue, MD

  • Addiction Psychiatry Physician
  • Billings, MT
  • NPI 1801349410
  NPD
• Blake Sterling Sanford, MD

  • Emergency Medicine Physician
  • Oak Park, IL
  • NPI 1306308408
  NPD

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1073774667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY ROAD",
            "address_2": "SUITE 600 EAST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75244",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 23RD AVE",
            "address_2": "UNIT A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "303-245-0123",
            "fax_number": "303-245-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCPHCS X, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "GASAWAY",
        "authorized_official_first_name": "JEMECE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF LICENSING",
        "authorized_official_telephone_number": "214-365-6126"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CO",
            "license": "1597-01",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CO",
            "license": "1597-01",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CO",
            "license": "1597-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHG Longmont Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maggie Vandenberg, DVM
• Rebecca Vanderveen
• Rachel Baer Vanharken, LCSW
• Charles James Vanhook, M.D.
• Heather Noelle Vaughn, MS, OTR/L
• Vcphcs X, LLC (BHG Longmont Treatment Center)
• Lauren Veazey
• Matthew Edward Velarde
• Swati Vempati, MD
• Melissa Wilson Venrick, DDS

• Substance Use Disorder Rehabilitation Clinic/Center in Longmont, CO
• Providers in Longmont, CO by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.