NPIMap

Organization Active NPI

Lifeline Mental Health LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Englewood, CO
National Provider Identifier
1235958778
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LIFELINE MENTAL HEALTH LLC
Practice address
4045 S Broadway Ste 107
Englewood, CO 80113-4694
Phone
(720) 507-4696
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Monica McIntyre, LPC, LAC
Title
Founder
Phone
(720) 507-4696

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

4045 S Broadway Ste 107
Englewood, CO 80113-4694

Mailing address

4 Sunset LN
Greenwood Village, CO 80121-1250
Phone (720) 507-4696

Other practice location 1

4 Sunset Ln
Greenwood Village, CO 80121-1250
Phone (720) 507-4696

Other names 1

  • FitMind Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fitmind4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4045 S Broadway
Ste 107
Englewood, CO 80113
Phone (720) 507-4696

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1235958778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SUNSET LN",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801211250",
            "telephone_number": "720-507-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 S BROADWAY STE 107",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801134694",
            "telephone_number": "720-507-4696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Sunset Ln",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801211250",
            "country_code": "US",
            "telephone_number": "720-507-4696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFELINE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "720-507-4696",
        "authorized_official_credential": "LPC, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FitMind",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FitMind",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.