NPIMap

Organization Active NPI

Momentum 360

  • Social Worker
  • Broomfield, CO
National Provider Identifier
1912803511
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
MOMENTUM 360
Practice address
250 Summit Blvd
Broomfield, CO 80021-8357
Phone
(720) 666-9063
NPI assigned
Oct 19, 2026
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Miranda HarrelsonNPI 1841196441
Title
Case Manager
Phone
(720) 666-9063

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
Social Worker 104100000X Primary

Addresses

Primary practice location

250 Summit Blvd
Broomfield, CO 80021-8357

Mailing address

250 Summit Blvd
Broomfield, CO 80021-8357
Phone (720) 666-9063

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1912803511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SUMMIT BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218357",
            "telephone_number": "720-666-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SUMMIT BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218357",
            "telephone_number": "720-666-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "HARRELSON",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "720-666-9063"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.