Organization Active NPI

Ag Psychiatric Services LLC

  • Psychiatric/Mental Health Registered Nurse
  • Grand JCT, CO
National Provider Identifier
1265314306
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
AG PSYCHIATRIC SERVICES LLC
Practice address
700 Belford Ave Ste 102
Grand JCT, CO 81501-3171
Phone
(503) 806-1957
NPI assigned
Jul 21, 2025
Last updated
Jul 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Kirah Aldinger-Gibson, PMHNP-BCNPI 1225807951
Title
Owner
Phone
(503) 806-1957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X NU Primary

Addresses

Primary practice location

700 Belford Ave Ste 102
Grand JCT, CO 81501-3171

Mailing address

700 Belford Ave Ste 102
Grand JCT, CO 81501-3171
Phone (503) 806-1957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251009003665 CO Part B Supplier - Clinic/Group Practice 1355848763 Receives reassigned benefits from 1 practitioner
Practice locations: Grand JCT, CO

National Provider Directory

National Provider Directory

Locations

700 Belford Ave
Ste 102
Grand Junction, CO 81501
Phone (970) 644-2016

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": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1265314306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BELFORD AVE STE 102",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815013171",
            "telephone_number": "503-806-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BELFORD AVE STE 102",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815013171",
            "telephone_number": "503-806-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "ALDINGER-GIBSON",
        "authorized_official_first_name": "KIRAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-806-1957",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand JCT, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.