Divine Health Group LLC
NPI 1164120796 · Mental Health Clinic/Center (Including Community Mental Health Center) · La Junta, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Divine Health Group LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in La Junta, CO (NPI 1164120796).
Provider details
- NPI number
- 1164120796
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cheyenne Shipman, Owner(719) 413-5261
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-02-22
- Last updated
- 2025-07-18
- Certified
- 2025-07-18
Frequently asked questions
- What is Divine Health Group LLC's NPI number?
- Divine Health Group LLC's National Provider Identifier (NPI) is 1164120796, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Health Group LLC?
- Divine Health Group LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Divine Health Group LLC located?
- Divine Health Group LLC's practice location on file with NPPES is 1206 E 3rd St, La Junta, CO 81050-1907.
- What is Divine Health Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Health Group LLC is (719) 413-5261.
- Does Divine Health Group LLC accept Medicare?
- Divine Health Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Divine Health Group LLC?
- The authorized official listed on Divine Health Group LLC's NPPES record is Cheyenne Shipman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Health Group LLC's NPI active?
- Yes — Divine Health Group LLC's NPI (1164120796) is active in the NPPES registry as of the last update on 2025-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.