Organization Active NPI

Ap Mind Wellness, LLC

  • Clinical Social Worker
  • Grand Junction, CO
National Provider Identifier
1750976429
Registry record updated Mar 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AP MIND WELLNESS, LLC
Practice address
2701 Del Mar Dr
Grand Junction, CO 81506-1723
Phone
(970) 549-2821
NPI assigned
Mar 4, 2021
Last updated
Mar 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2021

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

Authorized official

Name
Ariel K Rendt Padron, LCSWNPI 1699226936
Title
Therapist
Phone
(970) 549-2821

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2701 Del Mar Dr
Grand Junction, CO 81506-1723

Mailing address

2701 Del Mar Dr
Grand Junction, CO 81506-1723
Phone (970) 549-2821

Other practice location 1

300 Main St Ste 201
Grand Junction, CO 81501-2404
Phone (970) 549-2821

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apadron@coloradoapmindwellness.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210421002542 CO Part B Supplier - Clinic/Group Practice 0840608303 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616198400000",
    "number": "1750976429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 DEL MAR DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061723",
            "telephone_number": "970-549-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DEL MAR DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061723",
            "telephone_number": "970-549-2821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815012404",
            "country_code": "US",
            "telephone_number": "970-549-2821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AP MIND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A",
        "authorized_official_last_name": "RENDT PADRON",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "970-549-2821",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apadron@coloradoapmindwellness.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2701 Del Mar Dr",
            "city": "Grand Junction",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815061723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; 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.