Mile High Treatment and Recovery Inc

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

MILE HIGH TREATMENT AND RECOVERY INC

Practice address

6310 E Exposition Ave
Denver, CO 80224-1260

Phone

(720) 756-7162

NPI assigned

Dec 1, 2022

Last updated

Apr 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raisa Katanova, PHARM.D.NPI 1104169309

Title

Executive Director

Phone

(720) 756-7162

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Opioid treatment program

Medicare-enrolled since Feb 21, 2024

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Raisa Yakovlivna Katanova, PHARM. D.

  • Pharmacist
  • Commerce City, CO
  • NPI 1104169309
  NPD Authorized official
• Ryan Foley, NP

  • Gerontology Nurse Practitioner
  • Golden, CO
  • NPI 1750751582
  NPD
• John P. Lawrence, PA-C, MMSC

  • Physician Assistant
  • Denver, CO
  • NPI 1962738401
  NPD
• Amanda Dawn Rusco, MS LPC

  • Professional Counselor
  • Aurora, CO
  • NPI 1518504208
  NPD
• Jason Michael West, D.O.

  • Psychiatry Physician
  • Windsor, CO
  • NPI 1962634923
  NPD
• Alissa Zucker

  • Addiction (Substance Use Disorder) Counselor
  • Westminster, CO
  • NPI 1548633316
  NPD

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1154031011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 E EXPOSITION AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 E EXPOSITION AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241260",
            "telephone_number": "720-756-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH TREATMENT AND RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "KATANOVA",
        "authorized_official_first_name": "RAISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "720-756-7162",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mile High Sports and Rehabilitation Medicine, PC
• Mile High Sports and Rehabilitation Medicine, PC
• Mile High Therapy
• Mile High Therapy
• Mile High TMS LLC
• Mile High Women's Wellness PLLC
• Mile High Women's Wellness PLLC
• Milehigh Home Health Care Inc
• Kaylin Jill Milenski, RN
• Miles Medical Group LLC

• Methadone Clinic in Denver, CO
• Providers in Denver, CO by specialty
• Methadone Clinic in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.