NPIMap

Organization Active NPI

Front Range Treatment Center, LTD.

  • Psychologist
  • Centennial, CO
National Provider Identifier
1558875591
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY.0004384 Issued in CO
Legal business name
FRONT RANGE TREATMENT CENTER, LTD.
Practice address
6075 S Quebec St Ste 200
Centennial, CO 80111-4535
Phone
(720) 390-6932
NPI assigned
Nov 29, 2017
Last updated
Nov 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Dr. Jenell Effinger, PHDNPI 1518376102
Title
Owner
Phone
(720) 390-6932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY.0004384 CO Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

6075 S Quebec St Ste 200
Centennial, CO 80111-4535

Mailing address

6075 S Quebec St Ste 200
Centennial, CO 80111-4535
Phone (720) 390-6932

National Provider Directory

National Provider Directory

Locations

6053 S Quebec St
Ste 101
Centennial, CO 80111
Phone (720) 390-6932

6075 S Quebec St
Ste 200
Englewood, CO 80111
Phone (720) 390-6932

Practitioners & affiliated clinicians

Practitioners 10

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": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1558875591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 S QUEBEC ST STE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114535",
            "telephone_number": "720-390-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 S QUEBEC ST STE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114535",
            "telephone_number": "720-390-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE TREATMENT CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2021-11-18",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "EFFINGER",
        "authorized_official_first_name": "JENELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-390-6932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0004384",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.