NPIMap

Organization Active NPI

Achieve Whole Recovery, PC

  • Specialist
  • Colorado Springs, CO
National Provider Identifier
1013456383
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ACHIEVE WHOLE RECOVERY, PC
Practice address
1115 Elkton Dr Ste 300
Colorado Springs, CO 80907-3597
Phone
(719) 373-9703
Fax
(719) 631-7017
NPI assigned
Feb 19, 2017
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ryan L Cole, PSY.DNPI 1356621544
Title
President
Phone
(719) 357-6471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1115 Elkton Dr Ste 300
Colorado Springs, CO 80907-3597

Mailing address

1115 Elkton Dr Ste 300
Colorado Springs, CO 80907-3597
Phone (719) 373-9703

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180202001959 CO Part B Supplier - Clinic/Group Practice 8123388527 Receives reassigned benefits from 54 practitioners
4 other NPIs on this enrollment
Practice locations: Colorado Springs, CO; Denver, CO; Lakewood, CO

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 57

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1013456383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073597",
            "telephone_number": "719-373-9703",
            "fax_number": "719-631-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073597",
            "telephone_number": "719-373-9703",
            "fax_number": "719-631-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE WHOLE RECOVERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-19",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-357-6471",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.