NPIMap

Organization Active NPI

Stablestrides

  • Community/Behavioral Health Agency
  • Elbert, CO
National Provider Identifier
1215208459
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
743 Issued in CO
Legal business name
STABLESTRIDES
Practice address
13620 Halleluiah TRL
Elbert, CO 80106-9020
Phone
(719) 495-3908
Fax
(719) 494-1689
NPI assigned
Jan 19, 2012
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Chester DeangelisNPI 1770045064
Title
Clinical Services Director
Phone
(719) 495-3908

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Marriage & Family Therapist 106H00000X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Community/Behavioral Health Agency 251S00000X 743 CO Primary

Addresses

Primary practice location

13620 Halleluiah TRL
Elbert, CO 80106-9020

Mailing address

13620 Halleluiah TRL
Elbert, CO 80106-9020
Phone (719) 495-3908

Other practice location 1

1045 Lower Gold Camp Rd
Colorado Springs, CO 80905-4801
Phone (719) 495-3908 ext. 1

Other names 1

  • Acts 19:11 Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Acts 19112 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

13620 Halleluiah Trl
Elbert, CO 80106
Phone (719) 495-3908

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1215208459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 HALLELUIAH TRL",
            "city": "ELBERT",
            "state": "CO",
            "postal_code": "801069020",
            "telephone_number": "719-495-3908",
            "fax_number": "719-494-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 HALLELUIAH TRL",
            "city": "ELBERT",
            "state": "CO",
            "postal_code": "801069020",
            "telephone_number": "719-495-3908",
            "fax_number": "719-494-1689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 Lower Gold Camp Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809054801",
            "country_code": "US",
            "telephone_number": "719-495-3908 x1",
            "fax_number": "719-494-1689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STABLESTRIDES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "DEANGELIS",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_title_or_position": "CLINICAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "719-495-3908"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acts 19:11",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Elbert, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.