South Table Wellness
NPI 1386387975 · Adult Mental Health Clinic/Center · Lakewood, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Table Wellness is a Adult Mental Health Clinic/Center organization in Lakewood, CO (NPI 1386387975).
Provider details
- NPI number
- 1386387975
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jaclyn Ripperger-Harrell, Managing Member(720) 324-7939
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
4 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
- 2022-04-20
- Last updated
- 2024-02-03
- Certified
- 2024-02-03
Frequently asked questions
- What is South Table Wellness's NPI number?
- South Table Wellness's National Provider Identifier (NPI) is 1386387975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Table Wellness?
- South Table Wellness is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Table Wellness located?
- South Table Wellness's practice location on file with NPPES is 2550 Youngfield St # 4, Lakewood, CO 80215-1033.
- What is South Table Wellness's phone number?
- The practice phone number listed in the NPPES registry for South Table Wellness is (720) 324-7939.
- Does South Table Wellness accept Medicare?
- South Table Wellness 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 South Table Wellness?
- The authorized official listed on South Table Wellness's NPPES record is Jaclyn Ripperger-Harrell, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Table Wellness's NPI active?
- Yes — South Table Wellness's NPI (1386387975) is active in the NPPES registry as of the last update on 2024-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.