Organization Active NPI

Forest Heights Lodge Inc.

Doing business as Decade2Connect

  • Adolescent and Children Mental Health Clinic/Center
  • Lakewood, CO
National Provider Identifier
1215932884
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
FOREST HEIGHTS LODGE INC.
Doing business as
Decade2Connect
Practice address
13922 Denver West Parkway
Suite 150
Lakewood, CO 80401
Phone
(303) 674-6681
Fax
(303) 674-6805
NPI assigned
Jun 20, 2005
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Mark Ryan Henninger
Title
Chief Executive Officer
Phone
(303) 600-3702

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

13922 Denver West Parkway
Suite 150
Lakewood, CO 80401

Mailing address

13922 Denver West Parkway
Suite 150
Lakewood, CO 80401
Phone (303) 674-6681

Other names 1

  • Decade2Connect Doing business as

National Provider Directory

National Provider Directory

Locations

13922 Denver West Pkwy
Ste 150
Lakewood, CO 80401
Phone (303) 674-6681

Practitioners & affiliated clinicians

Practitioners 1

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": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1215932884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13922 DENVER WEST PARKWAY",
            "address_2": "SUITE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-674-6681",
            "fax_number": "303-674-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13922 DENVER WEST PARKWAY",
            "address_2": "SUITE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-674-6681",
            "fax_number": "303-674-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HEIGHTS LODGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2024-03-04",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "HENNINGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "303-600-3702"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decade2Connect",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.