Active NPI
Behavioral Clinical Services
- Mental Health Counselor
- Grand Junction, CO
National Provider Identifier
1356643969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5607
- Legal business name
- BEHAVIORAL CLINICAL SERVICES
- Practice address
- 1005 N 12TH St Ste 105
Grand Junction, CO 81501-3156 - Phone
- (970) 241-6500
- Fax
- (970) 243-8835
- NPI assigned
- Dec 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adrienne C. Withrow
- Title
- Office Manager
- Phone
- (970) 241-6500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5607 | CO | Primary |
Addresses
Primary practice location
1005 N 12TH St Ste 105
Grand Junction, CO 81501-3156
Mailing address
1005 N 12TH St Ste 105
Grand Junction, CO 81501-3156
Phone (970) 241-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C801557 | Other | CO | MEDICARE PROVIDER #C801557 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Grand Junction, CO
- NPI 1134402886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291248000000",
"number": "1356643969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 N 12TH ST STE 105",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815013156",
"telephone_number": "970-241-6500",
"fax_number": "970-243-8835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 N 12TH ST STE 105",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815013156",
"telephone_number": "970-241-6500",
"fax_number": "970-243-8835"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL CLINICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-02",
"last_updated": "2010-12-02",
"status": "A",
"authorized_official_last_name": "WITHROW",
"authorized_official_first_name": "ADRIENNE",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "970-241-6500"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "5607",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER #C801557",
"identifier": "C801557",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.