Active NPI
Vistas Pediatric and Family Mental Wellness PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Longmont, CO
National Provider Identifier
1205526308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- VISTAS PEDIATRIC AND FAMILY MENTAL WELLNESS PLLC
- Practice address
- 350 Terry St Ste 200
Longmont, CO 80501-5464 - Phone
- (720) 324-7158
- Fax
- (833) 547-1923
- NPI assigned
- May 11, 2023
- Last updated
- Aug 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer June Crowe
- Title
- Owner/Provider
- Phone
- (720) 324-7158
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
350 Terry St Ste 200
Longmont, CO 80501-5464
Mailing address
350 Terry St Ste 200
Longmont, CO 80501-5464
Phone (720) 324-7158
Other practice location 1
698 Briggs St.
suite 4
Erie, CO 80516
Phone (720) 324-7158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000222832 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Longmont, CO
- NPI 1023445897
-
- Psychiatric/Mental Health Nurse Practitioner
- Longmont, CO
- NPI 1801382569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1205526308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 TERRY ST STE 200",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805015464",
"telephone_number": "720-324-7158",
"fax_number": "833-547-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 TERRY ST STE 200",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805015464",
"telephone_number": "720-324-7158",
"fax_number": "833-547-1923"
}
],
"practiceLocations": [
{
"address_1": "698 Briggs St.",
"address_2": "suite 4",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "CO",
"postal_code": "80516",
"country_code": "US",
"telephone_number": "720-324-7158",
"fax_number": "833-547-1923",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VISTAS PEDIATRIC AND FAMILY MENTAL WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-11",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A",
"authorized_official_last_name": "CROWE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "JUNE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "720-324-7158"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000222832",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
- Alan Thomas Villavicencio, MD
- Marcia Michelle Vincent, M.A., NCC, LPC, CAS
- Virya Counseling Services LLC (Virya Center)
- Sean Leigh Visger, D.D.S.
- Vision Source Longmont, PC
- Vitalife Chiropractic LLC
- Vitals Home Healthcare Solutions LLC
- Emily Vlietstra, MBA, CD(DONA)
- VMD Primary Providers Colorado, Inc
- VMD Primary Providers Colorado, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.