Organization Active NPI

The Doorway LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greeley, CO
National Provider Identifier
1841024999
Registry record updated Aug 30, 2024
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
THE DOORWAY LLC
Practice address
1770 25TH Ave Ste 204
Greeley, CO 80634-4949
Phone
(970) 567-7347
NPI assigned
Aug 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Ms. Dawn Kimberly O'Keefe, MS MPA PMHNP-BCNPI 1477022135
Title
Pmhnp-BC/Owner
Phone
(303) 725-9999

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1770 25TH Ave Ste 204
Greeley, CO 80634-4949

Mailing address

4610 Pendleton Ave
Evans, CO 80634-9167
Phone (303) 725-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241003002337 CO Part B Supplier - Clinic/Group Practice 1153852926 Receives reassigned benefits from 1 practitioner
Practice locations: Greeley, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2311043Doorway, LLC, the1770 25TH Ave, Suite 204, Greeley, CO 80634Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory

Locations

1770 25th Ave
Ste 204
Greeley, CO 80634
Phone (303) 725-9999

Practitioners & affiliated clinicians

Practitioners 1

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": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1841024999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 PENDLETON AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806349167",
            "telephone_number": "303-725-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 25TH AVE STE 204",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344949",
            "telephone_number": "970-567-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DOORWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "O'KEEFE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "PMHNP-BC/OWNER",
        "authorized_official_telephone_number": "303-725-9999",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS MPA PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.