NPIMap

Organization Active NPI

Clarity Mental Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Castle Rock, CO
National Provider Identifier
1972002087
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0993571 Issued in CO
Legal business name
CLARITY MENTAL HEALTH, PLLC
Practice address
753 Maleta LN Ste 204
Castle Rock, CO 80108-7609
Phone
(303) 993-6071
Fax
(720) 667-2997
NPI assigned
Feb 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
April ChamberlinNPI 1063926947
Title
Owner
Phone
(303) 993-6071

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 0993571 CO Primary

Addresses

Primary practice location

753 Maleta LN Ste 204
Castle Rock, CO 80108-7609

Mailing address

PO Box 1943
Castle Rock, CO 80104-1504
Phone (719) 993-6071

Other identifiers 1

IdentifierTypeStateIssuer
9000162289MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180625002412 CO Part B Supplier - Clinic/Group Practice 7416202999 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Castle Rock, CO

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2171453Clarity Mental Health, PLLC753 Maleta Lane, Suite 204, Castle Rock, CO 80108Certificate of waiverAug 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Clarity Mental Health PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

753 Maleta Ln
Ste 204
Castle Rock, CO 80108
Phone (303) 993-6071

753 Maleta Ln
Ste 203
Castle Rock, CO 80108
Phone (303) 993-6071

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

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": "1517702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1972002087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1943",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041504",
            "telephone_number": "719-993-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 MALETA LN STE 204",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087609",
            "telephone_number": "303-993-6071",
            "fax_number": "720-667-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARITY MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-04",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLIN",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-993-6071"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0993571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000162289",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.