Active NPI
Spring Creek Behavioral Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Fort Collins, CO
National Provider Identifier
1740151521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SPRING CREEK BEHAVIORAL HEALTH LLC
- Practice address
- 1304 S College Ave # 5
Fort Collins, CO 80524-4114 - Phone
- (970) 692-6491
- NPI assigned
- Sep 15, 2025
- Last updated
- Sep 15, 2025
- 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
- Gilda Mark
- Title
- Ceo
- Phone
- (970) 692-6491
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
1304 S College Ave # 5
Fort Collins, CO 80524-4114
Mailing address
PO Box 208
Wellington, CO 80549-0208
Phone (970) 692-6491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1304 S College Ave
#5
Fort Collins, CO 80524
Phone (970) 692-6491
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Collins, CO
- NPI 1700124617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757894400000",
"number": "1740151521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208",
"city": "WELLINGTON",
"state": "CO",
"postal_code": "805490208",
"telephone_number": "970-692-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 S COLLEGE AVE # 5",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244114",
"telephone_number": "970-692-6491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRING CREEK BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-15",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A",
"authorized_official_last_name": "MARK",
"authorized_official_first_name": "GILDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "970-692-6491"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
- Margaret Mary Spooner
- Sports Recovery Center of the Rockies, LLC
- Sandra Lee Sposato, PSY.D.
- Robert L Sprague
- McKenzie Shea Spresser, PA-C
- Spring Creek Dental PLLC
- Spring Creek Emdr LLC
- Spring Creek Eye Care, PLLC
- Spring Creek Medical Park Outpatient Surgery Center LLC (Spring Creek Surgery Center)
- Spring Creek Oral & Maxillofacial Surgery P.C. (Blue Sky Oral and Maxillofacial Surgery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.