Individual provider Active NPI

Dayanara Tejas Gohil, PMHNP-DC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1821319252
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0992292 Issued in CO
Practice address
875 W. Moreno
Colorado Springs, CO 80905-1731
Phone
(719) 339-4129
NPI assigned
Jun 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 187109 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0992292 CO Primary

Addresses

Primary practice location

875 W. Moreno
Colorado Springs, CO 80905-1731

Mailing address

875 W Moreno Ave
Colorado Springs, CO 80905-1731
Phone (719) 572-6216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160503001708 CO Practitioner - Nurse Practitioner 7113226796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LG Behavioral Health of Colorado LLCGroup PAC ID 5193111425, 6 clinicians

Practice addresses (Care Compare)

6950 E Belleview Ave
Suite 300
Greenwood Village, CO 80111-1629
Phone (303) 468-8018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
187109COMDRegistered Nurse
0992292COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LG Behavioral Health of Colorado LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

2095 W 6th Ave
Ste 106
Broomfield, CO 80020
Phone (303) 448-9713

6950 E Belleview Ave
Ste 300
Greenwood Village, CO 80111
Phone (303) 468-8018

Interoperability endpoints

  • Direct secure messaging: lgbhc.dayanaragohil@151332.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1821319252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 W MORENO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051731",
            "telephone_number": "719-572-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 W. MORENO",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051731",
            "telephone_number": "719-339-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHIL",
        "first_name": "DAYANARA",
        "middle_name": "TEJAS",
        "credential": "PMHNP-DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "187109",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0992292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.