NPIMap

Organization Active NPI

Teen Challenge of the Rocky Mountains Inc

  • Community/Behavioral Health Agency
  • Denver, CO
National Provider Identifier
1750121398
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TEEN CHALLENGE OF THE ROCKY MOUNTAINS INC
Practice address
2634 S Broadway
Denver, CO 80210-5705
Phone
(303) 744-3986
NPI assigned
May 30, 2024
Organization subpart
Yes
Parent organization
TEEN CHALLENGE OF THE ROCKY MOUNTAINS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
David Sellar, MA, LPC, LAC
Title
Clinical Administrator
Phone
(303) 744-3986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2634 S Broadway
Denver, CO 80210-5705

Mailing address

PO Box 336
Englewood, CO 80151-0336
Phone (303) 744-3986

Other names 1

  • Vibrant Life Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Teen Challenge of the Rocky Mountains Inc4 organizations share this tax ID, including this one
Part of
Teen Challenge of the Rocky Mountains Inc

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1750121398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801510336",
            "telephone_number": "303-744-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 S BROADWAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105705",
            "telephone_number": "303-744-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEN CHALLENGE OF THE ROCKY MOUNTAINS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEEN CHALLENGE OF THE ROCKY MOUNTAINS INC",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "SELLAR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "303-744-3986",
        "authorized_official_credential": "MA, LPC, LAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibrant Life Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.