Organization Active NPI

Intrepid Mental Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1184198558
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INTREPID MENTAL WELLNESS, PLLC
Practice address
1776 S Jackson St Ste 901-2
Denver, CO 80210-3801
Phone
(719) 505-4404
NPI assigned
Jan 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Chelsey Lahr, PMHNP-BCNPI 1033597307
Title
President
Phone
(719) 505-4404

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1776 S Jackson St Ste 901-2
Denver, CO 80210-3801

Mailing address

17951 W Granite View Dr
Goodyear, AZ 85338-5579

National Provider Directory

National Provider Directory

Locations

1776 S Jackson St
Ste 901-2
Denver, CO 80210
Phone (619) 792-9253

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1184198558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17951 W GRANITE VIEW DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853385579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST STE 901-2",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103801",
            "telephone_number": "719-505-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTREPID MENTAL WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "LAHR",
        "authorized_official_first_name": "CHELSEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-505-4404",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.