NPIMap

Organization Active NPI

Maple Star Colorado Dba Clarvida

  • Case Management Agency
  • Pueblo, CO
National Provider Identifier
1871178814
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MAPLE STAR COLORADO DBA CLARVIDA
Practice address
635 W Corona Ave Ste 209
Pueblo, CO 81004-1210
Phone
(303) 433-1975
NPI assigned
Mar 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Heather Morris
Title
Executive Director
Phone
(303) 433-1975

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

635 W Corona Ave Ste 209
Pueblo, CO 81004-1210

Mailing address

2250 S Oneida St Ste 200
Denver, CO 80224-2558
Phone (303) 564-2595

Other identifiers 1

IdentifierTypeStateIssuer
90967OtherFOSTER CARE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Maple Star Colorado Dba Clarvida6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1871178814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 S ONEIDA ST STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242558",
            "telephone_number": "303-564-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W CORONA AVE STE 209",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041210",
            "telephone_number": "303-433-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE STAR COLORADO DBA CLARVIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-433-1975"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOSTER CARE LICENSE",
            "identifier": "90967",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.