Individual provider Active NPI

Jorge S Correia, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1700557287
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0996956-NP Issued in CO
Practice address
4770 Baseline Rd Ste 200
Boulder, CO 80303-2668
Phone
(720) 679-8259
Fax
(888) 437-8409
NPI assigned
Sep 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0996956-NP CO Primary

Addresses

Primary practice location

4770 Baseline Rd Ste 200
Boulder, CO 80303-2668

Mailing address

4770 Baseline Rd Ste 200
Boulder, CO 80303-2668
Phone (720) 679-8259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211022002032 CO Practitioner - Nurse Practitioner 9931597093 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0996956-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Networks on Demand, LLC CurrentSince Sep 13, 2024 Accepting new patients
TMS Solutions Inc CurrentSince Nov 1, 2025 Accepting new patients
Zenith Mental Health Clinic, PLLC Current Accepting new patients
Zoomcare PC PastSince Sep 13, 2024 Accepting new patients
Zoomcare Urgent Care LLC PastSince Aug 6, 2023 Accepting new patients

Locations

3150 N 12th St
Grand Junction, CO 81506
Phone (970) 243-5437

5655 S Yosemite St
Ste 201
Greenwood Village, CO 80111

3872 N Mississippi Ave
Portland, OR 97227

765 E Holland Ave
Ste 1
Spokane, WA 99218
Phone (509) 242-6005

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774656000000",
    "number": "1700557287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 BASELINE RD STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032668",
            "telephone_number": "720-679-8259",
            "fax_number": "888-437-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 BASELINE RD STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032668",
            "telephone_number": "720-679-8259",
            "fax_number": "888-437-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREIA",
        "first_name": "JORGE",
        "middle_name": "S",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0996956-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.