NPIMap

Organization Active NPI

West Central Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westcliffe, CO
National Provider Identifier
1285158683
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WEST CENTRAL MENTAL HEALTH CENTER, INC
Practice address
511 Main St
Westcliffe, CO 81252-8309
Phone
(719) 783-0566
NPI assigned
Jul 28, 2017
Organization subpart
Yes
Parent organization
WEST CENTRAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Mandy Jo Kaisner, LPC
Title
Ceo
Phone
(719) 275-2351

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 15A935 CO
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

511 Main St
Westcliffe, CO 81252-8309

Mailing address

3225 Independence Rd
Canon City, CO 81212-9380
Phone (719) 275-2351

Other identifiers 1

IdentifierTypeStateIssuer
04200093MedicaidCO

Other names 1

  • Solvista Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
W CTRL MNTL HLTH Ctr Inc24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

3225 Independence Rd
Canon City, CO 81212
Phone (719) 275-2351

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1285158683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 INDEPENDENCE RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129380",
            "telephone_number": "719-275-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MAIN ST",
            "city": "WESTCLIFFE",
            "state": "CO",
            "postal_code": "812528309",
            "telephone_number": "719-783-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CENTRAL MENTAL HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST CENTRAL INC",
        "enumeration_date": "2017-07-28",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "KAISNER",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-275-2351",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "15A935",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04200093",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solvista Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Solvista Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westcliffe, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.