Active NPI
Offender Services, Inc
Doing business as Caprock Behavioral Services
- Community/Behavioral Health Agency
- Grand Junction, CO
National Provider Identifier
1619337391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 148631
- Legal business name
- OFFENDER SERVICES, INC
- Doing business as
- Caprock Behavioral Services
- Practice address
- 389 Roberts Court
Grand Junction, CO 81504-6155 - Phone
- (970) 243-8220
- Fax
- (970) 243-1511
- NPI assigned
- Feb 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jack L Andersen, PSY D
- Title
- Exec Director
- Phone
- (970) 243-8220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 148631 | CO | Primary |
Addresses
Primary practice location
389 Roberts Court
Grand Junction, CO 81504-6155
Mailing address
389 Roberts Court
Grand Junction, CO 81504-6155
Phone (970) 243-8220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96822732 | Other | CO | MEDICAID PROVIDER NUMBER |
Other names 1
- Caprock Behavioral Services
National Provider Directory
National Provider Directory- Tax ID family
- Caprock Behavioral Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Caprock Behavioral Services
- Community/Behavioral Health Agency
- Grand Junction, CO
- NPI 1053859348
Locations
389 Roberts Ct
Grand Junction, CO 81504
Phone (970) 243-8220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641945600000",
"number": "1619337391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 ROBERTS COURT",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815046155",
"telephone_number": "970-243-8220",
"fax_number": "970-243-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 ROBERTS COURT",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815046155",
"telephone_number": "970-243-8220",
"fax_number": "970-243-1511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OFFENDER SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-24",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A",
"authorized_official_last_name": "ANDERSEN",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EXEC DIRECTOR",
"authorized_official_telephone_number": "970-243-8220",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY D"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CO",
"license": "148631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER NUMBER",
"identifier": "96822732",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Caprock Behavioral Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Caprock Behavioral Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.