Organization Active NPI

Rocky Heights Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parker, CO
National Provider Identifier
1336729821
Registry record updated Feb 28, 2023
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
ROCKY HEIGHTS WELLNESS LLC
Practice address
10841 Crossroads Dr Ste 112
Parker, CO 80134-9089
Phone
(720) 545-5722
NPI assigned
Apr 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Briana Haight, PMHNP-BCNPI 1194356519
Title
Owner
Phone
(720) 545-5722

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

10841 Crossroads Dr Ste 112
Parker, CO 80134-9089

Mailing address

5325 NW 118TH Ave
Coral Springs, FL 33076-3228
Phone (303) 868-3134

Other practice location 1

5325 NW 118th Ave
Coral Springs, FL 33076-3228
Phone (303) 868-3134

Other identifiers 1

IdentifierTypeStateIssuer
1194356519MedicaidCO

Other names 1

  • Rocky Heights Wellness LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

10841 Crossroads Dr
Ste 112
Parker, CO 80134
Phone (719) 881-0763

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1336729821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 NW 118TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763228",
            "telephone_number": "303-868-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 CROSSROADS DR STE 112",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349089",
            "telephone_number": "720-545-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 NW 118th Ave",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330763228",
            "country_code": "US",
            "telephone_number": "303-868-3134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROCKY HEIGHTS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "HAIGHT",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-545-5722",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194356519",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Heights Wellness LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Rocky Heights Wellness LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.