Organization Active NPI

Flatland Center for Brain LLC

  • Mental Health Counselor
  • Holyoke, CO
National Provider Identifier
1740029404
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FLATLAND CENTER FOR BRAIN LLC
Practice address
143 S Campbell Ave
Holyoke, CO 80734-1561
Phone
(970) 466-0646
NPI assigned
May 22, 2024
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Daniel Schellenger
Title
Business Manager
Phone
(970) 466-0646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

143 S Campbell Ave
Holyoke, CO 80734-1561

Mailing address

143 S Campbell Ave
Holyoke, CO 80734-1561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240813001320 CO Part B Supplier - Clinic/Group Practice 0345788030 Receives reassigned benefits from 1 practitioner
Practice locations: Holyoke, CO

National Provider Directory

National Provider Directory
Tax ID family
Flatland Center for Brain LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

143 S Campbell Ave
Holyoke, CO 80734
Phone (970) 466-0646

Practitioners & affiliated clinicians

Practitioners 4

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": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1740029404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 S CAMPBELL AVE",
            "city": "HOLYOKE",
            "state": "CO",
            "postal_code": "807341561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 S CAMPBELL AVE",
            "city": "HOLYOKE",
            "state": "CO",
            "postal_code": "807341561",
            "telephone_number": "970-466-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATLAND CENTER FOR BRAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "SCHELLENGER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "970-466-0646"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.