Majestic Mountain Mental Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MAJESTIC MOUNTAIN MENTAL HEALTH LLC

Practice address

405 W Bowman Ave
Woodland Park, CO 80863-5010

Phone

(719) 212-1928

Fax

(719) 888-1866

NPI assigned

Dec 14, 2024

Last updated

Dec 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Michelle Crawford, MSN, APN, PMHNP-BCNPI 1750114989

Title

Owner

Phone

(719) 212-1928

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kathy Michelle Crawford, PMNHP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1750114989

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734134400000",
    "number": "1891502753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 N LOGAN ST",
            "address_2": "STE 660 #281714",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80203",
            "telephone_number": "719-212-1928",
            "fax_number": "719-888-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W BOWMAN AVE",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808635010",
            "telephone_number": "719-212-1928",
            "fax_number": "719-888-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC MOUNTAIN MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-14",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-212-1928",
        "authorized_official_credential": "MSN, APN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.