NPIMap

Organization Active NPI

Diversus Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bailey, CO
National Provider Identifier
1003271776
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DIVERSUS HEALTH INC
Practice address
460 County Road 43 # a
Ste 7
Bailey, CO 80421-2503
Phone
(719) 572-6100
NPI assigned
Dec 23, 2015
Organization subpart
Yes
Parent organization
DIVERSUS HEALTH INCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Gene Contreras
Title
VP Accounting & Finance
Phone
(719) 572-6197

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329000837 CO Part B Supplier - Clinic/Group Practice 7719879204 Receives reassigned benefits from 76 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Woodland Park, CO; Fairplay, CO; Cripple Creek, CO; Colorado Springs, CO; Bailey, CO; Calhan, CO

National Provider Directory

National Provider Directory
Tax ID family
Diversus Health Inc31 organizations share this tax ID

Corporate family (same tax ID) 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 15C450 CO
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

NPPES NPI Registry

Primary practice location

460 County Road 43 # a
Ste 7
Bailey, CO 80421-2503

Mailing address

220 Ruskin Dr
Colorado Springs, CO 80910-2522

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
09012567MedicaidCO

Other names 2

NPPES NPI Registry
  • Diversus Health Services Doing business as
  • AspenPointe Inc AspenPointe Health Services Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 9, 2024.

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1003271776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RUSKIN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 COUNTY ROAD 43 # A",
            "address_2": "STE 7",
            "city": "BAILEY",
            "state": "CO",
            "postal_code": "804212503",
            "telephone_number": "719-572-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSUS HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVERSUS HEALTH INC",
        "enumeration_date": "2015-12-23",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "VP ACCOUNTING & FINANCE",
        "authorized_official_telephone_number": "719-572-6197"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CO",
            "license": "15C450",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09012567",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversus Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AspenPointe Inc AspenPointe Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bailey, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.