NPIMap

Organization Active NPI

Health Solutions

Doing business as Benedicta - MT San Rafael Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Trinidad, CO
National Provider Identifier
1902154529
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEALTH SOLUTIONS
Doing business as
Benedicta - MT San Rafael Hospital
Practice address
400 Benedicta Ave
Trinidad, CO 81082-2099
Phone
(719) 545-2746
Fax
(719) 542-9638
NPI assigned
Aug 29, 2012
Last updated
Jun 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH SOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Jason ChippeauxNPI 1679674147
Title
President/Ceo
Phone
(719) 545-2746

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

400 Benedicta Ave
Trinidad, CO 81082-2099

Mailing address

41 Montebello Rd Ste 204
Pueblo, CO 81001-1379
Phone (719) 545-2746

Other names 1

  • Benedicta - MT San Rafael Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318000467 CO Part B Supplier - Clinic/Group Practice 0143110668 Receives reassigned benefits from 97 practitioners
32 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pueblo, CO; Trinidad, CO; Walsenburg, CO

Other NPIs on the same Medicare enrollment 32

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

  • Health Solutions

    dba Crisis Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Pueblo, CO
    • NPI 1013075928

    O20040318000467

    Same enrollment
  • Health Solutions

    dba Acute Treatment Unit

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Pueblo, CO
    • NPI 1013076959

    O20040318000467

    Same enrollment
  • Health Solutions

    dba Health Solutions Care Team

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Pueblo, CO
    • NPI 1023615911

    O20040318000467

    Same enrollment
  • Health Solutions

    dba Health Solutions Main

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Pueblo, CO
    • NPI 1033165527

    O20040318000467

    Same enrollment
  • Health Solutions

    dba Aop MH

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Pueblo, CO
    • NPI 1043061286

    O20040318000467

    Same enrollment
  • Health Solutions

    dba Perry Hall MH

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Pueblo, CO
    • NPI 1154161966

    O20040318000467

    Same enrollment
  • Health Solutions

    dba Respite

    • Respite Care
    • Pueblo, CO
    • NPI 1184475121

    O20040318000467

    Same enrollment
  • Health Solutions

    dba Health Solutions Crestone Clinic SUD

    • Substance Use Disorder Rehabilitation Clinic/Center
    • Pueblo, CO
    • NPI 1194073775

    O20040318000467

    Same enrollment
  • Health Solutions

    dba Family Center MH

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Pueblo, CO
    • NPI 1205687407

    O20040318000467

    Same enrollment
  • Health Solutions

    dba Adult Outpatient Program

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Pueblo, CO
    • NPI 1366049744

    O20040318000467

    Same enrollment
  • Health Solutions

    dba Health Solutions Tinidad

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Trinidad, CO
    • NPI 1386170157

    O20040318000467

    Same enrollment
  • Health Solutions

    dba Family Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Pueblo, CO
    • NPI 1407473325

    O20040318000467

    Same enrollment
View all 32

National Provider Directory

National Provider Directory
Tax ID family
Spanish Peaks Mental HL76 organizations share this tax ID, including this one
Part of
Spanish Peaks Mental HL

Organizations with this tax ID in the same state 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1902154529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MONTEBELLO RD STE 204",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011379",
            "telephone_number": "719-545-2746",
            "fax_number": "719-542-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BENEDICTA AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822099",
            "telephone_number": "719-545-2746",
            "fax_number": "719-542-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH SOLUTIONS",
        "enumeration_date": "2012-08-29",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "CHIPPEAUX",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "719-545-2746"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benedicta - MT San Rafael Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trinidad, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.