Footprints Denver Co, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

FOOTPRINTS DENVER CO, LLC

Practice address

6505 S Paris St
Centennial, CO 80111-6503

Phone

(720) 795-5484

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Michael Milch

Title

Executive VP of Operations

Phone

(412) 874-8157

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1154808384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775969",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775969",
            "telephone_number": "872-810-3611",
            "fax_number": "732-276-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 S PARIS ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116503",
            "telephone_number": "720-795-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS DENVER CO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "MILCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE VP OF OPERATIONS",
        "authorized_official_telephone_number": "412-874-8157",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CO",
            "license": "1958-01",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Focused Heart, Clear Mind Counseling, PLLC
• Lindsay Fogerty, MS OTR/L
• Meghan Foley
• Lauren Mikel Fonseca, OTR
• Foot and Ankle Center of the Rockies LLC
• Footprints Recovery Co LLC
• Lisa Forbes, PHD, LPC
• Rebecca Forbes, PHARM.D.
• Anayzeia Ford
• Gwen L Fornia, LPC

• Substance Abuse Rehabilitation Facility in Centennial, CO
• Providers in Centennial, CO by specialty
• Substance Abuse Rehabilitation Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.