Mental Fitness Colorado, LLC

Primary specialty

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

License

20171759951 Issued in CO

Legal business name

MENTAL FITNESS COLORADO, LLC

Practice address

2627 Redwing Rd Ste 220
Fort Collins, CO 80526-6331

Phone

(970) 682-4353

Fax

(970) 530-3839

NPI assigned

Nov 29, 2017

Organization subpart

No

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

Authorized official

Name

Adam R Musgrave, PA-C, PSYCHIATRY CAQ

Title

Owner

Phone

(970) 682-4353

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1538673553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 220",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266331",
            "telephone_number": "970-682-4353",
            "fax_number": "970-530-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 220",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266331",
            "telephone_number": "970-682-4353",
            "fax_number": "970-530-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL FITNESS COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "MUSGRAVE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-682-4353",
        "authorized_official_credential": "PA-C, PSYCHIATRY CAQ"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CO",
            "license": "20171759951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES - NPI",
            "identifier": "1417043837",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodrigo A Mendez, LCSW, LAC, MSW
• Veronica Mendez, LCSW, LAC
• Estella A Mendoza
• Julie Ann Menefee
• Olivia Bray Meneses, MSW, LSW
• Katherine Menzel
• Meraki Journey Counseling, LLC
• Freya Meraki, PSY.D.
• Jeannette Yvonne Mercer, M.D.
• Julie Kay Mercurio, RN, BSN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Collins, CO
• Providers in Fort Collins, 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 29, 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.