Organization Active NPI

Harvest Therapeutic Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denver, CO
National Provider Identifier
1770167470
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HARVEST THERAPEUTIC SERVICES LLC
Practice address
1780 S Bellaire St Ste 801
Denver, CO 80222-4328
Phone
(720) 653-9149
Fax
(720) 541-6641
NPI assigned
May 9, 2021
Organization subpart
No

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
Dr. Kelli Henderson, DMFTNPI 1326426982
Title
Owner
Phone
(303) 921-2771

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1780 S Bellaire St Ste 801
Denver, CO 80222-4328

Mailing address

1780 S Bellaire St Ste 801
Denver, CO 80222-4328
Phone (206) 539-1497

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241101002727 CO Part B Supplier - Clinic/Group Practice 9032642780 Receives reassigned benefits from 2 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

5500 E Yale Ave
Ste 202
Denver, CO 80222
Phone (303) 921-2771

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1770167470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 S BELLAIRE ST STE 801",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224328",
            "telephone_number": "206-539-1497",
            "fax_number": "720-541-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 S BELLAIRE ST STE 801",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224328",
            "telephone_number": "720-653-9149",
            "fax_number": "720-541-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-09",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-921-2771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.
  • 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.