Organization Active NPI

Bliss Behavioral Health PLLC

  • Family Nurse Practitioner
  • Parker, CO
National Provider Identifier
1952099020
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BLISS BEHAVIORAL HEALTH PLLC
Practice address
11027 S Pikes Peak Dr Suite 202
Parker, CO 80138
Phone
(720) 340-7222
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Mrs. Khatera Jahan, NPNPI 1952946063
Title
Psychiatric Nurse Practitioner
Phone
(951) 858-6688

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

11027 S Pikes Peak Dr Suite 202
Parker, CO 80138

Mailing address

10940 S Parker Rd Ste 660
Parker, CO 80134-7440
Phone (720) 340-7222

National Provider Directory

National Provider Directory

Locations

11027 S Pikes Peak Dr
Ste 202
Parker, CO 80138
Phone (720) 340-7222

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1952099020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 S PARKER RD STE 660",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347440",
            "telephone_number": "720-340-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11027 S PIKES PEAK DR SUITE 202",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80138",
            "telephone_number": "720-340-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "JAHAN",
        "authorized_official_first_name": "KHATERA",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "951-858-6688",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.