NPIMap

Organization Active NPI

St. Vincent General Hospital District

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1992443261
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ST. VINCENT GENERAL HOSPITAL DISTRICT
Practice address
2503 Walnut St Ste 201
Boulder, CO 80302-5745
Phone
(303) 883-6921
Fax
(303) 362-9464
NPI assigned
May 25, 2022
Organization subpart
Yes
Parent organization
ST. VINCENT GENERAL HOSPITAL DISTRICTAs reported in NPPES

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
Andrew Dreesen
Title
Authorized Official
Phone
(719) 486-7161

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

2503 Walnut St Ste 201
Boulder, CO 80302-5745

Mailing address

816 W 4TH St
Leadville, CO 80461-3861
Phone (719) 486-0230

Other names 1

  • St. Vincent Behavioral Health Boulder Other name

National Provider Directory

National Provider Directory
Tax ID family
St Vincent General Hospital District9 organizations share this tax ID, including this one
Part of
St Vincent General Hospital District

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1992443261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W 4TH ST",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613861",
            "telephone_number": "719-486-0230",
            "fax_number": "719-486-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 WALNUT ST STE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025745",
            "telephone_number": "303-883-6921",
            "fax_number": "303-362-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT GENERAL HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT GENERAL HOSPITAL DISTRICT",
        "enumeration_date": "2022-05-25",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "DREESEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "719-486-7161"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent Behavioral Health Boulder",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boulder, 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.