Boulder Community Health
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Longmont, CO
NPI 1619832334 · NPPES record last updated Dec 16, 2025
Key facts
- NPI
- 1619832334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- BOULDER COMMUNITY HEALTH
- Practice address
- 2101 Ken Pratt Blvd Ste 104T
Longmont, CO 80501-6568 - Phone
- (303) 415-4299
- Fax
- (303) 441-2202
- NPI assigned
- Dec 16, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- BOULDER COMMUNITY HEALTH
Authorized official
- Name
- William A Munson Jr.
- Title
- VP/Cfo
- Phone
- (303) 485-7433
Corporate family (same tax ID) 24
Practitioners 4
-
Lisa Renee Jasin, LCSW
-
Maycee Mitchell, LCSW
National Provider Directory
- Tax ID family
- Michael Vongortler MD
- Part of
- Michael Vongortler MD
Locations
2101 Ken Pratt Blvd
Ste 104T
Longmont, CO 80501
Phone (303) 415-4299
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
2101 Ken Pratt Blvd Ste 104T
Longmont, CO 80501-6568
Mailing address
PO Box 9049
Boulder, CO 80301-9049
Phone (303) 415-4101
Other names
- Community Medical Associates of BCH
- Behavioral Health Specialists of BCH at Longmont
Other providers in Longmont, CO
- Julian Anthony Bost
- Stacy Boston
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
All providers in Longmont, CO · Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.