Hawthorne Mental Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HAWTHORNE MENTAL HEALTH LLC

Practice address

503 N Main St Ste 658
Pueblo, CO 81003-3132

Phone

(719) 644-5573

NPI assigned

Nov 20, 2023

Last updated

Nov 20, 2023By 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

Geofrey Kosgei, NPNPI 1841072071

Title

Manager

Phone

(719) 502-7832

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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.

• Geofrey Kosgei

  • Psychiatric/Mental Health Nurse Practitioner
  • Pueblo, CO
  • NPI 1841072071
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1396510426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 ALPINE DAISY DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809259611",
            "telephone_number": "719-502-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST STE 658",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033132",
            "telephone_number": "719-644-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-18",
        "status": "A",
        "authorized_official_last_name": "KOSGEI",
        "authorized_official_first_name": "GEOFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-502-7832",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haven Behavioral Services of Pueblo, LLC (Haven Behavioral Hospital of Southern Colorado)
• Jean R Haver, LCSW
• Jeonghye Hawes, RPH
• Allison C Hawkins, M.A., CCC-SLP
• Matthew Hawkins, B.S.
• Crayton C Hayes, RPH
• William Hayes, LMT/NMT
• Dianne McNair Hayhurst-Vigil, CAC III
• Elsie Haynes, D.O.
• Health Solutions (Crisis Center)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.