NPIMap

Organization Active NPI

Timberline Behavioral Health, LLC

  • Behavior Analyst
  • Bayfield, CO
National Provider Identifier
1801523360
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TIMBERLINE BEHAVIORAL HEALTH, LLC
Practice address
291 Meadows Cir
Bayfield, CO 81122-9506
Phone
(970) 821-7323
NPI assigned
Aug 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Mrs. Sarah Raeghan Dessel, BCBANPI 1659891489
Title
Owner
Phone
(970) 821-7323

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
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

291 Meadows Cir
Bayfield, CO 81122-9506

Mailing address

2432 County Road 220
Durango, CO 81303-8026

Other identifiers 1

IdentifierTypeStateIssuer
9000152754MedicaidCO

Other names 1

  • Timberline Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Timberline Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1801523360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 COUNTY ROAD 220",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 MEADOWS CIR",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811229506",
            "telephone_number": "970-821-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLINE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "DESSEL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "RAEGHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-821-7323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000152754",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timberline Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Timberline Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.