NPIMap

Organization Active NPI

Clarity Mental Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1164056685
Registry record updated Jul 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CLARITY MENTAL HEALTH, PLLC
Practice address
1100 Eagleridge Blvd Ste 1112
Pueblo, CO 81008-2103
Phone
(303) 993-6071
Fax
(303) 993-6071
NPI assigned
Feb 24, 2020
Organization subpart
Yes
Parent organization
CLARITY MENTAL HEALTH PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2022

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

Authorized official

Name
April D Chamberlin, PMHNP
Title
President
Phone
(303) 993-6071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1100 Eagleridge Blvd Ste 1112
Pueblo, CO 81008-2103

Mailing address

PO Box 1943
Castle Rock, CO 80104-1504
Phone (719) 993-6071

Other identifiers 1

IdentifierTypeStateIssuer
9000162289MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180625002412 CO Part B Supplier - Clinic/Group Practice 7416202999 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Castle Rock, CO

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Clarity Mental Health PLLC2 organizations share this tax ID, including this one
Part of
Clarity Mental Health PLLC

Other organizations with this tax ID 1

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

Locations

1112 Eagleridge Blvd
Ste 1112
Pueblo, CO 81008
Phone (303) 993-6071

1100 Eagleridge Blvd
Ste 1112
Pueblo, CO 81008
Phone (303) 993-6071

10001 Washington St
Ste 3B
Thornton, CO 80229

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656806400000",
    "number": "1164056685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1943",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041504",
            "telephone_number": "719-993-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 EAGLERIDGE BLVD STE 1112",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082103",
            "telephone_number": "303-993-6071",
            "fax_number": "303-993-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARITY MENTAL HEALTH, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARITY MENTAL HEALTH PLLC",
        "enumeration_date": "2020-02-24",
        "last_updated": "2022-07-03",
        "certification_date": "2022-07-03",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLIN",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-993-6071",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000162289",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; 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.