Provider Demographics
NPI:1275214959
Name:COLORADO WEST REGIONAL MENTAL HEALTH, INC.
Entity type:Organization
Organization Name:COLORADO WEST REGIONAL MENTAL HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIPPEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-545-2746
Mailing Address - Street 1:PO BOX 3807
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81502-3807
Mailing Address - Country:US
Mailing Address - Phone:970-683-7131
Mailing Address - Fax:970-243-8631
Practice Address - Street 1:515 28 3/4 RD
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-5016
Practice Address - Country:US
Practice Address - Phone:844-493-8255
Practice Address - Fax:970-243-8631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-26
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO4998084Medicaid