Organization Active NPI

National Institute for Change, P.C.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Aurora, CO
National Provider Identifier
1225637085
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
NATIONAL INSTITUTE FOR CHANGE, P.C.
Practice address
2600 S Parker Rd Ste 5-150
Aurora, CO 80014-1691
Phone
(303) 231-0090
Fax
(303) 231-0992
NPI assigned
Oct 22, 2020
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Diane Michelle Keeling
Title
Director of Operations
Phone
(303) 231-0090

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

2600 S Parker Rd Ste 5-150
Aurora, CO 80014-1691

Mailing address

3225 S Wadsworth Blvd Unit T
Lakewood, CO 80227-5009
Phone (303) 231-0090

Other practice location 1

9600 E Arapahoe Rd Ste 220
Greenwood Village, CO 80112-3726
Phone (303) 231-0090

Other practice location 2

1827 Federal Blvd
Denver, CO 80204-1724
Phone (303) 231-0090

Other practice location 3

3225 S Wadsworth Blvd Unit T
Lakewood, CO 80227-5009
Phone (303) 231-0090

Other practice location 4

3225 S Wadsworth Blvd Unit T
Lakewood, CO 80227-5009
Phone (303) 231-0090

Other identifiers 1

IdentifierTypeStateIssuer
624855MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
National Institute for Change PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1225637085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 S WADSWORTH BLVD UNIT T",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275009",
            "telephone_number": "303-231-0090",
            "fax_number": "303-231-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S PARKER RD STE 5-150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141691",
            "telephone_number": "303-231-0090",
            "fax_number": "303-231-0992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 E Arapahoe Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801123726",
            "country_code": "US",
            "telephone_number": "303-231-0090",
            "fax_number": "303-231-0992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1827 Federal Blvd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802041724",
            "country_code": "US",
            "telephone_number": "303-231-0090",
            "fax_number": "303-231-0992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3225 S Wadsworth Blvd Unit T",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802275009",
            "country_code": "US",
            "telephone_number": "303-231-0090",
            "fax_number": "303-231-0992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3225 S Wadsworth Blvd Unit T",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802275009",
            "country_code": "US",
            "telephone_number": "303-231-0090",
            "fax_number": "303-231-0992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATIONAL INSTITUTE FOR CHANGE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "KEELING",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "303-231-0090"
    },
    "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": "624855",
            "state": "CO"
        }
    ],
    "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 Nov 12, 2020; 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.