MEDICARE: DENVER AREA YOUTH SRVICES

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
1	101YM0800X	Mental Health Counselor
2	104100000X	Social Worker
3	251B00000X	Case Management Agency
4	253J00000X	Foster Care Agency
5	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
6	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
7	3245S0500X	Children's Substance Abuse Rehabilitation Facility
8	251S00000X	Community/Behavioral Health Agency	45069	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1134245996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENVER AREA YOUTH SRVICES

Provider Business Mailing Address
First Line	:	363 S HARLAN ST STE 100
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-3552
Country	:	US
Telephone Number	:	303-698-2300
Fax Number	:

Provider Business Practice Location Address
First Line	:	363 S HARLAN ST STE 100
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-3552
Country	:	US
Telephone Number	:	303-698-2300
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. NOEL A D'ALBERTIS
Credential	:	LCSW, MBA
Telephone Number	:	303-698-2300

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	09/29/2021

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