Organization Active NPI

Behavioral Clinical Services

  • Mental Health Counselor
  • Grand Junction, CO
National Provider Identifier
1356643969
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5607 Issued in CO
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

Updated by the provider on Dec 2, 2010

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
C801557OtherCOMEDICARE PROVIDER #C801557

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.