Premier Mental Health Healing Pathways

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PREMIER MENTAL HEALTH HEALING PATHWAYS

Practice address

115 Wilcox St Ste 246
Castle Rock, CO 80104-1992

Phone

(720) 525-5231

NPI assigned

Oct 18, 2023

Organization subpart

No

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

Authorized official

Name

Beverly White, PMHNP-BCNPI 1447898598

Title

Authorized Official

Phone

(720) 525-5231

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

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

• Beverly Ann White, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1447898598
  Medicare reassignment NPD Authorized official
• Danyelle Maxx Leaderman, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Centennial, CO
  • NPI 1992660138
  Medicare reassignment NPD

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1972385508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4044 EAGLE TAIL LN",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047927",
            "telephone_number": "720-525-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WILCOX ST STE 246",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041992",
            "telephone_number": "720-525-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MENTAL HEALTH HEALING PATHWAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "720-525-5231",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prairie Hawk Dental PLLC
• Prairie Hawk Orthodontics, PC
• Angela Prast, MA, LPCC
• Dainara Michelle Prast, DOT R/L
• Premier Mental Health Healing Pathways
• Preston H. Polson D.D.S, P.C.
• Primalized Health Consultants
• Prime Anesthesia PLLC
• Terasa Alaine Prince, LAC, NCC
• Stuart M Prins, MD

• Psychiatric/Mental Health Nurse Practitioner in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.