=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699533067
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MENTAL HEALTH OF THE ROCKIES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/11/2024
-----------------------------------------------------
Last Update Date | 10/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4240 HARLAN ST
-----------------------------------------------------
City | WHEAT RIDGE
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80033-5120
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-713-0970
-----------------------------------------------------
Fax | 720-637-6115
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4240 HARLAN ST
-----------------------------------------------------
City | WHEAT RIDGE
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80033-5120
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-713-0970
-----------------------------------------------------
Fax | 720-637-6115
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PMHNP
-----------------------------------------------------
Name | ENRIQUE CALOCA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 720-713-0970
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0850X
-----------------------------------------------------
Taxonomy Name | Adult Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------