NPIMap

Organization Active NPI

Peer Coach Academy Colorado

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
National Provider Identifier
1023620440
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PEER COACH ACADEMY COLORADO
Practice address
411 S Cascade Ave Ste 100
Colorado Springs, CO 80903-3811
Phone
(800) 604-8978
NPI assigned
Aug 18, 2020
Organization subpart
Yes
Parent organization
PEER COACH ACADEMY COLORADOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Rod E Rushing, CACIIINPI 1417288804
Title
Director
Phone
(720) 435-5320

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X

Addresses

Primary practice location

411 S Cascade Ave Ste 100
Colorado Springs, CO 80903-3811

Mailing address

411 S Cascade Ave Ste 100
Colorado Springs, CO 80903-3811
Phone (800) 604-8978

Other identifiers 1

IdentifierTypeStateIssuer
1417288804MedicaidCO

Other names 1

  • Embark PCA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Peer Coach Academy Colorado6 organizations share this tax ID, including this one
Part of
Peer Coach Academy Colorado

Other organizations with this tax ID 5

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

Locations

1102 S 21st St
Colorado Springs, CO 80904
Phone (303) 436-4727

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1023620440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S CASCADE AVE STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033811",
            "telephone_number": "800-604-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S CASCADE AVE STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033811",
            "telephone_number": "800-604-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEER COACH ACADEMY COLORADO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEER COACH ACADEMY COLORADO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "RUSHING",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "720-435-5320",
        "authorized_official_credential": "CACIII"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417288804",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embark PCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.