Organization Active NPI

Khesed Wellness a Colorado Nonprofit Corporation

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1386183010
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KHESED WELLNESS A COLORADO NONPROFIT CORPORATION
Practice address
3401 W 29TH Ave
Denver, CO 80211-3611
Phone
(720) 575-9889
NPI assigned
Feb 14, 2017
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Heather Nelson
Title
Director
Phone
(972) 523-4921

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

3401 W 29TH Ave
Denver, CO 80211-3611

Mailing address

2255 Sheridan Blvd
Unit C, Suite 224
Edgewater, CO 80214
Phone (720) 575-9889

Other practice location 1

2644 W 32nd Ave
Denver, CO 80211-3302
Phone (720) 575-9889

Other identifiers 1

IdentifierTypeStateIssuer
9000150039MedicaidCO

National Provider Directory

National Provider Directory

Locations

2644 W 32nd Ave
Denver, CO 80211
Phone (720) 575-9889

3401 W 29th Ave
Denver, CO 80211
Phone (720) 575-9889

2255 Sheridan Blvd
Unit C
Edgewater, CO 80214
Phone (515) 451-5866

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1386183010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 SHERIDAN BLVD",
            "address_2": "UNIT C, SUITE 224",
            "city": "EDGEWATER",
            "state": "CO",
            "postal_code": "80214",
            "telephone_number": "720-575-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W 29TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113611",
            "telephone_number": "720-575-9889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2644 W 32nd Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802113302",
            "country_code": "US",
            "telephone_number": "720-575-9889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KHESED WELLNESS A COLORADO NONPROFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-523-4921"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000150039",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.