Healthcare Provider Details

I. General information

NPI: 1518871888
Provider Name (Legal Business Name): COLORADO MENTAL HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 BRYANT ST STE 540
DENVER CO
80211-4153
US

IV. Provider business mailing address

5408 NW 88TH ST STE 140
JOHNSTON IA
50131-2953
US

V. Phone/Fax

Practice location:
  • Phone: 720-650-8172
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. LORRAINE CHIDESTER
Title or Position: CEO
Credential: DNP, ARNP, PMHNP
Phone: 515-375-7817