Individual provider Active NPI

Jennifer Michelle Lundeen

  • Community/Behavioral Health Agency
  • Evergreen, CO
National Provider Identifier
1124854799
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
251S00000X Issued in CO
Practice address
1035 El Rancho Rd
Evergreen, CO 80439-8238
Phone
(720) 295-3790
Fax
(877) 400-4480
NPI assigned
Sep 11, 2024
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 251S00000X CO Primary

Addresses

Primary practice location

1035 El Rancho Rd
Evergreen, CO 80439-8238

Mailing address

1825 W 120TH Ave # 237
Westminster, CO 80234-2879
Phone (303) 887-2807

Other identifiers 1

IdentifierTypeStateIssuer
251S00000XMedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
251S00000XCOMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Dimensions Behavioral Health, LLC CurrentSince Sep 15, 2024 Accepting new patients
Seven Dimensions Behavioral Health, LLC CurrentSince Sep 15, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1124854799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 W 120TH AVE # 237",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342879",
            "telephone_number": "303-887-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 EL RANCHO RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804398238",
            "telephone_number": "720-295-3790",
            "fax_number": "877-400-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDEEN",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "251S00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251S00000X",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.