NPIMap

Organization Active NPI

Community Reach Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Thornton, CO
National Provider Identifier
1831704600
Registry record updated Sep 9, 2020
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
COMMUNITY REACH CENTER, INC
Practice address
8889 Fox Dr Ste B
Thornton, CO 80260-8842
Phone
(303) 853-3500
NPI assigned
Sep 9, 2020
Organization subpart
Yes
Parent organization
COMMUNITY REACH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Ryshell Schrader
Title
Billing and Coding Manager
Phone
(303) 412-6091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

8889 Fox Dr Ste B
Thornton, CO 80260-8842

Mailing address

1870 W 122ND Ave Ste 100
Westminster, CO 80234-2075
Phone (303) 853-3500

Other identifiers 2

IdentifierTypeStateIssuer
9000145410MedicaidCO
9000157429MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Adams County Mental Health Center43 organizations share this tax ID, including this one
Part of
Adams County Mental Health Center

Other organizations with this tax ID 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1831704600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W 122ND AVE STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342075",
            "telephone_number": "303-853-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8889 FOX DR STE B",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802608842",
            "telephone_number": "303-853-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY REACH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY REACH CENTER, INC",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "RYSHELL",
        "authorized_official_title_or_position": "BILLING AND CODING MANAGER",
        "authorized_official_telephone_number": "303-412-6091"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000145410",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000157429",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.