Illuminate Community Recovery Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ILLUMINATE COMMUNITY RECOVERY SERVICES

Practice address

2075 Summit St
Franktown, CO 80116-8518

Phone

(303) 717-4039

NPI assigned

Dec 18, 2023

Last updated

Dec 18, 2023By 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

Heather Lister

Title

Owner

Phone

(720) 743-3232

Specialties & licenses 1

Addresses

Tax ID family

Illuminate Community Recovery Services2 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.

• Illuminate Community Recovery Services

  • Peer Specialist
  • Franktown, CO
  • NPI 1598450819
  NPD tax ID

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1265200331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 SUMMIT ST",
            "city": "FRANKTOWN",
            "state": "CO",
            "postal_code": "801168518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SUMMIT ST",
            "city": "FRANKTOWN",
            "state": "CO",
            "postal_code": "801168518",
            "telephone_number": "303-717-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE COMMUNITY RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "LISTER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-743-3232"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franktown Fire Protection District
• Nakoma Garcia, MS, LPC
• Traci Heffernan, MS, CCC-A
• Brittany Hogg
• Denise Hostetler, C.N.I.M.
• Illuminate Community Recovery Services
• Illuminate Recovery Services
• Illuminate Recovery Services
• Internal Aesthetic Medicine, LLC
• Jessica Kremer, FNP

• Community/Behavioral Health Agency in Franktown, CO
• Providers in Franktown, 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 Dec 18, 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.