NPIMap

Organization Active NPI

Stout Street Foundation

  • Substance Abuse Rehabilitation Facility
  • Commerce City, CO
National Provider Identifier
1104248947
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
139909 Issued in CO
Legal business name
STOUT STREET FOUNDATION
Practice address
7201 E 49TH Ave
Commerce City, CO 80022-4714
Phone
(303) 321-2533
Fax
(303) 468-6184
NPI assigned
Jan 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Katie Brydon, LCSW, LACNPI 1619308194
Title
Supervisor
Phone
(720) 401-2340

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Multi-Specialty Clinic/Center 261QM1300X
Rehabilitation Clinic/Center 261QR0400X
Substance Abuse Rehabilitation Facility 324500000X 139909 CO Primary

Addresses

Primary practice location

7201 E 49TH Ave
Commerce City, CO 80022-4714

Mailing address

7201 E 49TH Ave
Commerce City, CO 80022-4714
Phone (303) 321-2533

Other identifiers 1

IdentifierTypeStateIssuer
9000187465MedicaidCO

Other names 1

  • Serenity Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Serenity6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

7201 E 49th Ave
Commerce City, CO 80022
Phone (303) 321-2533

7251 E 49th Ave
Commerce City, CO 80022
Phone (303) 321-2533

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": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1104248947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 E 49TH AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800224714",
            "telephone_number": "303-321-2533",
            "fax_number": "303-468-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 E 49TH AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800224714",
            "telephone_number": "303-321-2533",
            "fax_number": "303-468-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOUT STREET FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "BRYDON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "720-401-2340",
        "authorized_official_credential": "LCSW, LAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CO",
            "license": "139909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000187465",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.