Organization Active NPI

Westside Behavioral Care, Inc.

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1851402903
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WESTSIDE BEHAVIORAL CARE, INC.
Practice address
1319 S Downing St
Denver, CO 80210-2310
Phone
(303) 986-4197
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Dr. Thomas R. Giles, PSY.D.
Title
Vice-President
Phone
(303) 675-5463

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X CO Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X CO
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CO
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X CO

Addresses

Primary practice location

1319 S Downing St
Denver, CO 80210-2310

Mailing address

PO Box 461570
Aurora, CO 80046-1570
Phone (303) 699-5585

Other identifiers 1

IdentifierTypeStateIssuer
C536068OtherCOMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040609000453 CO Part B Supplier - Clinic/Group Practice 8426031774 Receives reassigned benefits from 45 practitioners
Practice locations: Denver, CO; Lakewood, CO; Littleton, CO

National Provider Directory

National Provider Directory

Locations

6795 E Tennessee Ave
Ste 408
Denver, CO 80224
Phone (303) 461-6149

1777 S Bellaire St
Ste 220
Denver, CO 80222
Phone (303) 810-2726

165 S Union Blvd
Ste 570
Lakewood, CO 80228
Phone (303) 397-0343

6638 W Ottawa Ave
Ste 125
Littleton, CO 80128
Phone (720) 870-1539

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1851402903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461570",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800461570",
            "telephone_number": "303-699-5585",
            "fax_number": "303-699-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 S DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102310",
            "telephone_number": "303-986-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE BEHAVIORAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "303-675-5463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C536068",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.