Organization Active NPI

Kaleidoscope Recovery & Peer Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wheat Ridge, CO
National Provider Identifier
1184596058
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
KALEIDOSCOPE RECOVERY & PEER CENTER, LLC
Practice address
4485 Wadsworth Blvd Ste 110
Wheat Ridge, CO 80033-3309
Phone
(303) 483-5646
Fax
(303) 800-9789
NPI assigned
Sep 20, 2025
Organization subpart
Yes
Parent organization
KALEIDOSCOPE RECOVERY & PEER CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Ms. Laurie Antonia Antonia Perlman
Title
Director, Ceo Founder
Phone
(303) 483-5646

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

4485 Wadsworth Blvd Ste 110
Wheat Ridge, CO 80033-3309

Mailing address

4485 Wadsworth Blvd Ste 110
Wheat Ridge, CO 80033-3309
Phone (303) 483-5646

Other identifiers 1

IdentifierTypeStateIssuer
9000246585MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Kaleidoscope Recovery Peer Center LLC2 organizations share this tax ID, including this one
Part of
Kaleidoscope Recovery Peer Center LLC

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1758326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1184596058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 WADSWORTH BLVD STE 110",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333309",
            "telephone_number": "303-483-5646",
            "fax_number": "303-800-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 WADSWORTH BLVD STE 110",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333309",
            "telephone_number": "303-483-5646",
            "fax_number": "303-800-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDOSCOPE RECOVERY & PEER CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KALEIDOSCOPE RECOVERY & PEER CENTER, LLC",
        "enumeration_date": "2025-09-20",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "PERLMAN",
        "authorized_official_first_name": "LAURIE ANTONIA",
        "authorized_official_middle_name": "ANTONIA",
        "authorized_official_title_or_position": "DIRECTOR, CEO FOUNDER",
        "authorized_official_telephone_number": "303-483-5646",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000246585",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.