Individual provider Active NPI

Joseph Patrick Crowley

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, CO
National Provider Identifier
1093330375
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN0996727NP Issued in CO
Practice address
425 S Cherry St Ste 620
Glendale, CO 80246-1233
Phone
(480) 626-7584
NPI assigned
Jun 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0996727NP CO Primary

Addresses

Primary practice location

425 S Cherry St Ste 620
Glendale, CO 80246-1233

Mailing address

10778 Hillsboro St
Parker, CO 80134-3793
Phone (720) 369-9477

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL RockyMountainRegionalVAMC Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211012000494 CO Practitioner - Nurse Practitioner 4082012711 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0996727NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity TMS Centers LLC CurrentSince Nov 1, 2021 Accepting new patients
National Mental Health Management, LLC Past Accepting new patients

Locations

425 S Cherry St
Ste 620
Glendale, CO 80246
Phone (720) 712-0300

255 S Routt St
Ste 250
Lakewood, CO 80228
Phone (720) 712-0300

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

Interoperability endpoints

  • Direct secure messaging: joseph.crowley.1@21279.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1093330375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10778 HILLSBORO ST",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343793",
            "telephone_number": "720-369-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST STE 620",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461233",
            "telephone_number": "480-626-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN0996727NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RockyMountainRegionalVAMC",
            "affiliation": "N",
            "endpointDescription": "VAHospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1700 Wheeling St",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800457211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, CO

Sources for this page

Verify at the official NPI Registry.