Colorado Relationship Recovery LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CSW.09923905 Issued in CO

Legal business name

COLORADO RELATIONSHIP RECOVERY LLC

Practice address

1777 S Bellaire St Ste 165
Denver, CO 80222-4310

Phone

(303) 217-2658

NPI assigned

Apr 10, 2015

Last updated

Nov 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Polk, LCSW, LACNPI 1396111035

Title

Therapist

Phone

(720) 272-9573

Specialties & licenses 3

Addresses

Locations

Practitioners 4

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.

• Jason Polk, LCSW, LAC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1396111035
  NPD Authorized official
• Demitra Menard, MFTC

  • Marriage & Family Therapist
  • Denver, CO
  • NPI 1326850264
  NPD
• Judith Alison Rudolph Nesbitt, MFTC

  • Marriage & Family Therapist
  • Denver, CO
  • NPI 1922815927
  NPD
• Brandon P Schwartz, MSW, LCSW

  • Social Worker
  • Denver, CO
  • NPI 1336928183
  NPD

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1245626787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6541 S TABOR ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274854",
            "telephone_number": "720-272-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S BELLAIRE ST STE 165",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224310",
            "telephone_number": "303-217-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO RELATIONSHIP RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "720-272-9573",
        "authorized_official_credential": "LCSW, LAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "ACD.0000426",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "CSW.09923905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colorado Professional Psychological Group, P.C.
• Colorado Psychiatric Clinic
• Colorado Psychological Resources, PC
• Colorado Pulmonary Associates, PC
• Colorado Rehabilitation LLC
• Colorado Retina Associates, PLLC
• Colorado Retina Associates, PLLC
• Colorado School Medicaid Consortium
• Colorado Seminary (University of Denver-Counseling and Educational Services Clinic)
• Colorado Senior Care

• Community/Behavioral Health Agency in Denver, CO
• Providers in Denver, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.