Bear Creek Mental Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

8135 Issued in CO

Legal business name

BEAR CREEK MENTAL HEALTH LLC

Practice address

4911 Plettner LN
Ste 210
Evergreen, CO 80439

Phone

(303) 520-7300

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Donna Kautzman, ND, CNS

Title

Dr.

Phone

(303) 520-7300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1831640291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32983 SNOWSHOE RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "80439",
            "telephone_number": "303-520-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 PLETTNER LN",
            "address_2": "STE 210",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "80439",
            "telephone_number": "303-520-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR CREEK MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "KAUTZMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "303-520-7300",
        "authorized_official_credential": "ND, CNS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "8135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyndra Rose Basham, OT
• Michele Margaret Battle, LPC, LAC
• Gretchen Jean Bauer Huber, DDS
• Joanne Baum, LCSW, PHD CAC III
• Lynn Marie Baxter, P.T., D.P.T
• Bearden Family Chiropractic LLC
• Steve Bearden, D.C.
• Brooke Elin Bemis, DPT
• Joyce Marlene Benefiel, R.N.
• Christine Monserrat Benson

• All providers in Evergreen, CO
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.