Organization Active NPI

Fresh 2 Death Peer Support, LLC

  • Peer Specialist
  • Aurora, CO
National Provider Identifier
1215742655
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
FRESH 2 DEATH PEER SUPPORT, LLC
Practice address
3014 Victor St
Aurora, CO 80011-2017
Phone
(720) 451-4359
NPI assigned
Feb 12, 2025
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Moses Jones IV
Title
Owner
Phone
(720) 451-4359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

3014 Victor St
Aurora, CO 80011-2017

Mailing address

3912 S Carson St Unit 203
Aurora, CO 80014-7124
Phone (720) 451-4359

National Provider Directory

National Provider Directory
Tax ID family
Fresh 2 Death Peer Support LLC2 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1215742655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 S CARSON ST UNIT 203",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800147124",
            "telephone_number": "720-451-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 VICTOR ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800112017",
            "telephone_number": "720-451-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH 2 DEATH PEER SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-451-4359",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.