Springs Behavioral Health LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Colorado Springs, CO
NPI 1801471982 · NPPES record last updated Jan 2, 2025
Key facts
- NPI
- 1801471982
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- SPRINGS BEHAVIORAL HEALTH LLC
- Practice address
- 1465 Kelly Johnson Blvd Ste 305
Colorado Springs, CO 80920-3947 - Phone
- (719) 495-3359
- Fax
- (719) 691-7003
- NPI assigned
- Mar 10, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Omar Ahmed Khan, DNP
- Title
- Ceo
- Phone
- (719) 495-3359
Practitioners 7
-
Megan Joy Ara, PMHNP-BC
-
Aprill Michelle Fike, PMHNP-BC
-
Christine Murdoch Khan, APRN, PMHNP-BC
-
Amanda Dawn Taylor, PMHNP-BC
-
Victoria Bruyette, APRN
-
Omar Ahmed Khan, DNP, APRN, PMHNP-BC
-
Sarah Foxley, PSY.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210505000863 | CO | Part B Supplier - Clinic/Group Practice | 8820407703 |
Receives reassigned benefits from 6 practitioners Practice locations: Colorado Springs, CO |
National Provider Directory
Locations
1465 Kelly Johnson Blvd
Ste 245
Colorado Springs, CO 80920
1465 Kelly Johnson Blvd
Ste 305
Colorado Springs, CO 80920
Phone (719) 362-0796
1465 Kelly Johnson Blvd
Ste 320
Colorado Springs, CO 80920
Phone (719) 495-3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
1465 Kelly Johnson Blvd Ste 305
Colorado Springs, CO 80920-3947
Mailing address
1465 Kelly Johnson Blvd Ste 305
Colorado Springs, CO 80920-3947
Phone (719) 495-3359
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000192341 | Medicaid | CO |
Other providers in Colorado Springs, CO
- Springbok Health Inc.
- Kaetlyn Springer
- Springhealth Behavioral Health and Integrated Care Colorado, LLC
- Springhealth Behavioral Health and Integrated Care Colorado, LLC
- Springs Anesthesia PC
- Springs Chiropractic Health, Inc.
- Springs Chiropractic, P.C.
- Springs Chiropractic, PC
- Springs Community Acupuncture
- Springs Counseling Center
All providers in Colorado Springs, CO · Psychiatric/Mental Health Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.