Organization Active NPI

Aurora Mental Health

  • Health Maintenance Organization
  • Aurora, CO
National Provider Identifier
1720409410
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
AURORA MENTAL HEALTH
Practice address
17704 E Kepner Dr
Aurora, CO 80017-3310
Phone
(720) 216-3108
NPI assigned
Dec 23, 2013
Last updated
Dec 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
Jan Jenkins, PH.D.
Title
Program Manager
Phone
(303) 437-7947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X CO Primary

Addresses

Primary practice location

17704 E Kepner Dr
Aurora, CO 80017-3310

Mailing address

17704 E Kepner Dr
Aurora, CO 80017-3310
Phone (720) 216-3108

Other identifiers 1

IdentifierTypeStateIssuer
08-254-0941OtherCOCOLORADO DRIVER LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1720409410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17704 E KEPNER DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800173310",
            "telephone_number": "720-216-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17704 E KEPNER DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800173310",
            "telephone_number": "720-216-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "303-437-7947",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DRIVER LICENSE",
            "identifier": "08-254-0941",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.