Premier Mental Health Healing Pathways

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PREMIER MENTAL HEALTH HEALING PATHWAYS

Practice address

115 Wilcox St Ste 246
Castle Rock, CO 80104-1992

Phone

(720) 525-5231

Fax

(720) 528-7909

NPI assigned

Aug 25, 2023

Organization subpart

No

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

Authorized official

Name

Beverly A WhiteNPI 1447898598

Title

Pmhnp-BC

Phone

(720) 628-0673

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beverly Ann White, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1447898598
  NPD Authorized official
• Danyelle Maxx Leaderman, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Centennial, CO
  • NPI 1992660138
  NPD

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1265217624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4044 EAGLE TAIL LN",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047927",
            "telephone_number": "720-525-5231",
            "fax_number": "720-528-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WILCOX ST STE 246",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041992",
            "telephone_number": "720-525-5231",
            "fax_number": "720-528-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MENTAL HEALTH HEALING PATHWAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "720-628-0673"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Pourhassanian
• Prairie Hawk Dental PLLC
• Prairie Hawk Orthodontics, PC
• Angela Prast, MA, LPCC
• Dainara Michelle Prast, DOT R/L
• Premier Mental Health Healing Pathways
• Preston H. Polson D.D.S, P.C.
• Primalized Health Consultants
• Prime Anesthesia PLLC
• Terasa Alaine Prince, LAC, NCC

• Psychiatric/Mental Health Nurse Practitioner in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.