NPIMap

Organization Active NPI

Recovery Village at Palmer Lake, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Highlands Ranch, CO
National Provider Identifier
1124830245
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
RECOVERY VILLAGE AT PALMER LAKE, LLC
Practice address
630 Plaza Dr Ste 101
Highlands Ranch, CO 80129-2379
Phone
(754) 300-3120
Fax
(888) 919-4431
NPI assigned
Jan 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Belina Surujon
Title
VP Contracting & Licensing
Phone
(305) 785-5520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

630 Plaza Dr Ste 101
Highlands Ranch, CO 80129-2379

Mailing address

2200 N Commerce Pkwy Ste 200
Weston, FL 33326-3258
Phone (754) 300-3120

Other names 1

  • Denver Mental Health and Counseling by The Recovery Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Recovery Village at Palmer Lake LLC6 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

630 Plaza Dr
Ste 101
Highlands Ranch, CO 80129
Phone (720) 577-1400

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": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1124830245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N COMMERCE PKWY STE 200",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263258",
            "telephone_number": "754-300-3120",
            "fax_number": "888-919-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PLAZA DR STE 101",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292379",
            "telephone_number": "754-300-3120",
            "fax_number": "888-919-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY VILLAGE AT PALMER LAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "SURUJON",
        "authorized_official_first_name": "BELINA",
        "authorized_official_title_or_position": "VP CONTRACTING & LICENSING",
        "authorized_official_telephone_number": "305-785-5520"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Mental Health and Counseling by The Recovery Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.