NPIMap

Organization Active NPI

Maple Star Colorado Dba Clarvida

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
National Provider Identifier
1922165885
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
90967 Issued in CO
Legal business name
MAPLE STAR COLORADO DBA CLARVIDA
Practice address
3225 International Cir Ste 210
Colorado Springs, CO 80910-3161
Phone
(303) 433-1975
NPI assigned
Jan 2, 2007
Last updated
Aug 27, 2024By the provider in NPPES
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) 564-2595

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Mental Health Counselor 101YM0800X NU
Community/Behavioral Health Agency 251S00000X 90967 CO Primary

Addresses

Primary practice location

3225 International Cir Ste 210
Colorado Springs, CO 80910-3161

Mailing address

2250 S Oneida St
Suite 200
Denver, CO 80224-2556
Phone (303) 433-1975

Other practice location 1

2250 S Oneida St
Suite 200
Denver, CO 80224-2556
Phone (303) 433-1975

Other identifiers 1

IdentifierTypeStateIssuer
90967OtherCOCHILD PLACEMENT AGENCY

National Provider Directory

National Provider Directory
Tax ID family
Maple Star6 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.

Locations

1465 N Union Blvd
Ste 102
Colorado Springs, CO 80909
Phone (719) 492-3699

Practitioners & affiliated clinicians

Practitioners 3

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1922165885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 S ONEIDA ST",
            "address_2": "SUITE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242556",
            "telephone_number": "303-433-1975",
            "fax_number": "303-433-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 INTERNATIONAL CIR STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103161",
            "telephone_number": "303-433-1975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 S Oneida St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802242556",
            "country_code": "US",
            "telephone_number": "303-433-1975",
            "fax_number": "303-433-1980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAPLE STAR COLORADO DBA CLARVIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "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": "303-564-2595"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "90967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILD PLACEMENT AGENCY",
            "identifier": "90967",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, 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.