Brad'S House Mesa Ridge LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

BRAD'S HOUSE MESA RIDGE LLC

Practice address

646 Dexter St
Colorado Springs, CO 80911-2542

Phone

(719) 204-4548

NPI assigned

Jun 20, 2024

Organization subpart

No

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

Authorized official

Name

Patrick Haggard

Title

Billing Manager

Phone

(719) 641-6051

Specialties & licenses 1

Addresses

Tax ID family

Brad'S House Mesa Ridge 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.

• Brad'S House Mesa Ridge LLC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1316735855
  NPD tax ID

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1235973660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14960 WOODCARVER RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 DEXTER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809112542",
            "telephone_number": "719-204-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD'S HOUSE MESA RIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "HAGGARD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "719-641-6051"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanna Lee Braaksma, CAS
• Emma Bracchi, MA, LPC, NCC
• Rebecca Brace
• Lisa Brachhold, LCSW
• Alexia Brackett
• Brad'S House Mesa Ridge LLC
• Holly Anne Bradbury, LPC
• Trenton Mikal Bradbury, DO
• Braden Partners LP
• Braden Partners LP

• Emotionally Disturbed Childrens' Residential Treatment Facility in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.