=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114821394
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LEAP HEALTH FOUNDATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/02/2026
-----------------------------------------------------
Last Update Date | 10/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 626 N FRANKLIN ST
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80218-3626
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-225-2708
-----------------------------------------------------
Fax | 303-225-2708
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 626 N FRANKLIN ST
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80218-3626
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-225-2708
-----------------------------------------------------
Fax | 303-225-2708
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CTO
-----------------------------------------------------
Name | ANDREW N ROSE
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 303-225-2708
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------