Active NPI
Forest Heights Lodge Inc.
Doing business as Decade2Connect
- Adolescent and Children Mental Health Clinic/Center
- Lakewood, CO
National Provider Identifier
1215932884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- 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, 2024
- 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
- Mark Ryan Henninger
- Title
- Chief Executive Officer
- Phone
- (303) 600-3702
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Lakewood, CO
- NPI 1013614619
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.