NPIMap

Organization Active NPI

Jefferson Center for Mental Health

Doing business as Blue Spruce Pharmacy

  • Community/Retail Pharmacy
  • Lakewood, CO
National Provider Identifier
1861574642
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
622 Issued in CO
Legal business name
JEFFERSON CENTER FOR MENTAL HEALTH
Doing business as
Blue Spruce Pharmacy
Jefferson Center for Mental Health
Practice address
9485 W Colfax Ave
Lakewood, CO 80215-3918
Phone
(303) 432-5925
Fax
(303) 432-5935
NPI assigned
Oct 20, 2006
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Mr. Andrew Vander Kooi, PHARMDNPI 1659648442
Title
Pharmacy Director
Phone
(303) 432-5926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 622 CO Primary

Addresses

Primary practice location

9485 W Colfax Ave
Lakewood, CO 80215-3918

Mailing address

4851 Independence St
Wheat Ridge, CO 80033-6715
Phone (303) 432-5925

Other identifiers 2

IdentifierTypeStateIssuer
2003835OtherPK
62024566MedicaidCO

Other names 2

  • BLUE SPRUCE PHARMACY Doing business as
  • Jefferson Center for Mental Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210416000164 CO Part B Supplier - Mass Immunization (Roster Biller Only) 9032018882 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lakewood, CO; Wheat Ridge, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Jefferson Center for Mental57 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

5730 Ward Rd
Ste 102
Arvada, CO 80002
Phone (303) 422-6331

7878 Wadsworth Blvd
Arvada, CO 80003
Phone (303) 456-8967

7878 Wadsworth Blvd
Ste 100
Arvada, CO 80003
Phone (303) 432-5712

2960 Dory Hill Rd
Unit 100
Black Hawk, CO 80422
Phone (303) 582-5444

1921 Sheridan Blvd
Edgewater, CO 80214
Phone (303) 202-3550

27902 Meadow Dr
Evergreen, CO 80439

28577 Buffalo Park Rd
Ste 100
Evergreen, CO 80439

32214 Ellingwood Trl
Evergreen, CO 80439
Phone (303) 679-2020

1658 Cole Blvd
Lakewood, CO 80401

1675 Carr St
Lakewood, CO 80214
Phone (303) 432-5744

445 S Allison Pkwy
Lakewood, CO 80226
Phone (303) 987-7111

6179 S Balsam Way
Littleton, CO 80123
Phone (303) 948-1570

6901 S Pierce St
Ste 110
Littleton, CO 80128
Phone (303) 932-2121

9200 W Cross Dr
Littleton, CO 80123
Phone (303) 432-5620

9200 W Cross Dr
Ste 421
Littleton, CO 80123
Phone (303) 432-5600

10081 Wadsworth Pkwy
Westminster, CO 80021

6301 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 940-9118

Practitioners & affiliated clinicians

Practitioners 245

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 245

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1861574642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 INDEPENDENCE ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336715",
            "telephone_number": "303-432-5925",
            "fax_number": "303-432-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9485 W COLFAX AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802153918",
            "telephone_number": "303-432-5925",
            "fax_number": "303-432-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON CENTER FOR MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "VANDER KOOI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "303-432-5926",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2003835",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62024566",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUE SPRUCE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BLUE SPRUCE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jefferson Center for Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.