NPIMap

Organization Active NPI

LDS Family Services

Doing business as LDS Family Services Colorado

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, CO
National Provider Identifier
1891849303
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
992679 Issued in CO
Legal business name
LDS FAMILY SERVICES
Doing business as
LDS Family Services Colorado
Practice address
3263 Fraser St
Suite 3
Aurora, CO 80011-1217
Phone
(303) 371-1000
Fax
(303) 371-1002
NPI assigned
Jan 22, 2007
Organization subpart
Yes
Parent organization
LDS FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Mr. Jim R. Jacobs, LCSWNPI 1710082706
Title
Agency Director
Phone
(303) 371-1000

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 992679 CO Primary

Addresses

Primary practice location

3263 Fraser St
Suite 3
Aurora, CO 80011-1217

Mailing address

3263 Fraser St
Suite 3
Aurora, CO 80011-1217
Phone (303) 371-1000

Other names 1

  • LDS Family Services Colorado Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Robert D Smith PHD46 organizations share this tax ID, including this one
Part of
Robert D Smith PHD

Other organizations with this tax ID 45

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

View all 45

Locations

3263 Fraser St
Ste 3
Aurora, CO 80011
Phone (303) 371-1000

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1891849303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3263 FRASER ST",
            "address_2": "SUITE 3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800111217",
            "telephone_number": "303-371-1000",
            "fax_number": "303-371-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3263 FRASER ST",
            "address_2": "SUITE 3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800111217",
            "telephone_number": "303-371-1000",
            "fax_number": "303-371-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "303-371-1000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CO",
            "license": "992679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Family Services Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.