Centerboard Wellness Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1707-01 Issued in CO

Legal business name

CENTERBOARD WELLNESS CENTER

Practice address

4155 E Jewell Ave Ste 301
Denver, CO 80222-4507

Phone

(720) 324-0008

NPI assigned

May 2, 2017

Last updated

May 2, 2017By 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

Kimberly Anne Sutherland, M.ED, CAC III, NCACNPI 1003242611

Title

Director

Phone

(720) 324-0008

Specialties & licenses 1

Addresses

Locations

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.

• Kimberly Anne Sutherland, M.ED, CAC III

  • Addiction (Substance Use Disorder) Counselor
  • Denver, CO
  • NPI 1003242611
  Authorized official Same address or phone

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1376079095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14996 E GREENWOOD PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143935",
            "telephone_number": "720-324-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 E JEWELL AVE STE 301",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224507",
            "telephone_number": "720-324-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERBOARD WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "720-324-0008",
        "authorized_official_credential": "M.ED, CAC III, NCAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1707-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Valued Living, PLLC
• Alexandra Diane Center
• Kristy Center, PH.D.
• Tej Center, OTR/L
• Centerboard Recovery Center
• Centered Counseling LLC
• Centerpoint Healing PLLC (Centerpoint)
• Centerpoint Integrative Psychiatry PLLC
• Central Park TMS
• Central Stats

• Community/Behavioral Health Agency in Denver, CO
• Providers in Denver, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.