DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ROCKY MOUNTAIN BEHAVIORAL HEALTH, INC.

MEDICARE: ROCKY MOUNTAIN BEHAVIORAL HEALTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YA0400XAddiction (Substance Use Disorder) Counselor
3302F00000XExclusive Provider Organization1063-00CO
4251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922068931
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCKY MOUNTAIN BEHAVIORAL HEALTH, INC.
Provider Business Mailing Address
First Line : 3239 INDEPENDENCE RD
Second Line :
City : CANON CITY
State : CO
Zip : 81212-9380
Country : US
Telephone Number : 719-275-7650
Fax Number : 719-275-4209
Provider Business Practice Location Address
First Line : 3239 INDEPENDENCE RD
Second Line :
City : CANON CITY
State : CO
Zip : 81212-9380
Country : US
Telephone Number : 719-275-7650
Fax Number : 719-275-4209
Authorized Official
Title or Position : BUSINESS MANAGER
Name : LOIS R PETERSEN-KELLEY
Credential :
Telephone Number : 719-275-7650
Provider Enumeration Date : 03/24/2006
Last Update Date : 11/21/2025

Similar Medicare Providers

1396480950 — CHRISTINE RENEE PATTERSON MSW
Practice Location Address:
3225 INDEPENDENCE RD
CANON CITY, CO
81212-9380
Practice Phone: 719-275-2351
Practice Fax:
1871576694 — WILLIAM SHAUN GOGARTY M.D.
Practice Location Address:
3225 INDEPENDENCE RD
CANON CITY, CO
81212-9380
Practice Phone: 719-275-2351
Practice Fax: 719-269-9386
1336194299 — MRS. MARY ANN ELIZABETH ALESSI-RICHARDS NURSE PRACTITIONER
Practice Location Address:
3225 INDEPENDENCE RD
CANON CITY, CO
81212-9380
Practice Phone: 719-275-2351
Practice Fax: 719-269-9386
1770528630 — DR. ROBERT E TONSING M.D.
Practice Location Address:
3225 INDEPENDENCE RD
CANON CITY, CO
81212-9380
Practice Phone: 719-275-2351
Practice Fax: 719-269-9386
1124059571 — DR. MARK WAYNE DIAMOND D.O.
Practice Location Address:
3225 INDEPENDENCE RD
CANON CITY, CO
81212-9380
Practice Phone: 719-275-2351
Practice Fax: 719-269-9386
1629092291 — CAROL J PFAFFLY PHD
Practice Location Address:
3225 INDEPENDENCE RD
CANON CITY, CO
81212-9380
Practice Phone: 719-275-2351
Practice Fax: 719-269-9386

Directions to “ROCKY MOUNTAIN BEHAVIORAL HEALTH, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.