South Metro Mental Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SOUTH METRO MENTAL HEALTH LLC

Practice address

7752 Elmwood St
Littleton, CO 80125-8828

Phone

(303) 594-7544

NPI assigned

Dec 12, 2019

Last updated

Feb 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna Michelle Libby, PMHNP-BCNPI 1205168622

Title

Owner

Phone

(303) 594-7544

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Anna Michelle Libby, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
  • NPI 1205168622
  NPD Authorized official

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1336787068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7752 ELMWOOD ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801258828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7752 ELMWOOD ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801258828",
            "telephone_number": "303-594-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH METRO MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "LIBBY",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-594-7544",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SouthMetroMentalHealth@outlook.com",
            "affiliation": "N",
            "address_1": "7752 Elmwood St",
            "city": "Littleton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801258828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Littleton, CO
• Providers in Littleton, 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 Feb 24, 2020; 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.