Southwest Colorado Mental Health Center, Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Durango, CO
NPI 1932192598 · NPPES record last updated Feb 28, 2024
Key facts
- NPI
- 1932192598
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC
- Practice address
- 150 Mercury Village Dr
Durango, CO 81301-8955 - Phone
- (970) 335-2342
- NPI assigned
- Aug 29, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC.
Authorized official
- Name
- Shelly Burke
- Title
- Chief Executive Officer
- Phone
- (000) 000-0000
Owned or controlled facilities with NPI records 4
Other NPIs on the same Medicare enrollment 41
Other NPIs with the same Medicare PAC ID 9
Practitioners 154
-
Paige Baldwin, LSW
-
Leighellen Bane, LCSW, LAC
-
Amanda Joan Blacow, LPC
-
Kelly Brennan, PMHNP-BC
-
Brittany Brumfield, LCSW
-
Trevor W Entzminger, CNP
-
Michael Owen Esplin, PMHNP-BC
-
Linda Fitts-Liberman, LPC, LAC
-
Barton Elgin Giessel, M.D.
-
Taylor M Gillis, MD
-
Steven Girty, LSW
-
Michael John Gower, M.D.
-
Kirstin Thoreen Howell, APN-NP
-
Korby Jon Howell, PA-C
-
Jason Ross Immertreu, APN
-
Ashley Iverson, CNM
-
Emily Jones, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Axis Health System |
Federally qualified health center | Operational/Managerial Control | Oct 7, 2021 |
| Axis Health System |
Federally qualified health center | Operational/Managerial Control | Oct 7, 2021 |
| Axis Health System |
Federally qualified health center | Operational/Managerial Control | Oct 7, 2021 |
| Axis Health System |
Federally qualified health center | Operational/Managerial Control | Oct 7, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040326001177 | CO | Part B Supplier - Clinic/Group Practice | 9133011802 |
Receives reassigned benefits from 95 practitioners 46 other NPIs on this enrollment Practice locations: Gunnison, CO; Montrose, CO; Norwood, CO; Pagosa Springs, CO; Telluride, CO; Crested Butte, CO; Durango, CO; Dove Creek, CO… |
National Provider Directory
- Part of
- Pinon Mesa Guidance Cen
Locations
691 E Empire St
Cortez, CO 81321
Phone (970) 335-2232
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
150 Mercury Village Dr
Durango, CO 81301-8955
Mailing address
PO Box 1328
Durango, CO 81302-1328
Phone (970) 335-2238
Other practice location 1
281 Sawyer Dr Ste 100
Durango, CO 81303-3409
Phone (970) 259-2162
Other practice location 2
112 Village Sq W Ste 201
Ridgway, CO 81432-9238
Phone (970) 252-3200
Other practice location 3
1605 Grand Ave Ste # 3
Norwood, CO 81423
Phone (970) 252-3200
Other practice location 4
1970 E 3rd Ave Ste 1
Durango, CO 81301-5049
Phone (970) 335-2288
Other practice location 5
110 Hotchkiss Ave
Hotchkiss, CO 81419-9579
Phone (970) 252-3200
Other practice location 6
1125 Three Springs Blvd
Durango, CO 81301-9033
Phone (970) 403-0180
Other practice location 7
495 W 4th St
Dove Creek, CO 81324-4900
Phone (970) 677-2291
Other practice location 8
238 E. Colorado Ave, Suite 9
Telluride, CO 81435
Phone (970) 252-3200
Other practice location 9
107 W 11th St
Delta, CO 81416-1811
Phone (970) 252-3200
Other practice location 10
605 Miami Rd
Montrose, CO 81401-4108
Phone (970) 252-3200
Other practice location 11
691 E Empire St
Cortez, CO 81321-2802
Phone (970) 565-7946
Other practice location 12
52 Village Dr
Pagosa Springs, CO 81147-8368
Phone (970) 264-2104
Other practice location 13
212 E Main St
Naturita, CO 81422-5085
Phone (970) 252-3200
Other practice location 14
318 Elk Avenue Unit 25
Crested Butte, CO 81224
Phone (970) 252-3200
Other practice location 15
710 N Taylor St
Gunnison, CO 81230-2244
Phone (970) 252-3200
Other names
- Axis Health System Crested Butte
- Axis Health System Delta
- Axis Health System Gunnison
- Axis Health System Hotchkiss
- Axis Health System Montrose
- Axis Health System Naturita
- Axis Health System Norwood
- Axis Health System Ridgway
- Axis Health System Telluride
- Durango Integrated Healthcare
- archuleta integrated healthcare
- columbine behavioral healthcare
- cortez integrated healthcare
- crossroads at grandview
- dove creek integrated healthcare
- la plata itegrated healthcare
Other providers in Durango, CO
- Southwest Colorado Mental Health Center, Inc
- Southwest Colorado Mental Health Center, Inc
- Southwest Colorado Mental Health Center, Inc
- Southwest Colorado Mental Health Center, Inc
- Southwest Colorado Mental Health Center, Inc
- Southwest Colorado Spine and Musculoskeletal Center, P.C.
- Southwest Diagnostic Laboratories PC
- Southwest Diagnostic Laboratories PC
- Southwest Emergency Physicians, PC
- Southwest Endoscopy Center
All providers in Durango, CO · Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.