Jefferson Center for Mental Health

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

JEFFERSON CENTER FOR MENTAL HEALTH

Practice address

12751 W 56TH PL
Arvada, CO 80002-1327

Phone

(303) 424-4136

Fax

(303) 424-4125

NPI assigned

Feb 13, 2015

Last updated

Feb 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Gordon Johnson

Title

Residential Counselor

Phone

(651) 307-2486

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1225429087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 INDEPENDENCE ST",
            "address_2": "SUITE 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336715",
            "telephone_number": "303-425-0300",
            "fax_number": "303-432-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 W 56TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021327",
            "telephone_number": "303-424-4136",
            "fax_number": "303-424-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON CENTER FOR MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "RESIDENTIAL COUNSELOR",
        "authorized_official_telephone_number": "651-307-2486",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Renee Jaramillo
• Shrina Jasani
• Julie A Javernick, CNM
• Jeff Johnson Counseling LLC
• Thomas Jeffers, M.D.
• Jefferson Center for Mental Health
• Jefferson Center for Mental Health
• Jefferson Center for Mental Health
• Jefferson Center for Mental Health
• Jefferson Center for Mental Health

• Assisted Living Facility (Mental Illness) in Arvada, CO
• Providers in Arvada, CO by specialty
• Assisted Living Facility (Mental Illness) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.