Provider Demographics
NPI:1922741370
Name:BADGE GROUP
Entity Type:Organization
Organization Name:BADGE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINCIAN
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:KARINEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, CAS
Authorized Official - Phone:720-660-3442
Mailing Address - Street 1:8400 ALCOTT ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-3819
Mailing Address - Country:US
Mailing Address - Phone:720-507-3551
Mailing Address - Fax:
Practice Address - Street 1:8400 ALCOTT ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-3819
Practice Address - Country:US
Practice Address - Phone:720-507-3551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-14
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility