Organization Active NPI

Friends of Club 21

  • Day Training/Habilitation Specialist
  • Colorado Springs, CO
National Provider Identifier
1275401796
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Legal business name
FRIENDS OF CLUB 21
Practice address
301 Austin Bluffs Pkwy
Colorado Springs, CO 80918-3922
Phone
(360) 789-4935
NPI assigned
Oct 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Joseph Mason
Title
Chief Operating Officer
Phone
(360) 789-4935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 373H00000X Primary

Addresses

Primary practice location

301 Austin Bluffs Pkwy
Colorado Springs, CO 80918-3922

Mailing address

3472 Research Pkwy Ste 104-405
Colorado Springs, CO 80920-1066
Phone (360) 789-4935

National Provider Directory

National Provider Directory

Locations

301 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 535-0969

3472 Research Pkwy
Ste 104405
Colorado Springs, CO 80920

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1275401796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3472 RESEARCH PKWY STE 104-405",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201066",
            "telephone_number": "360-789-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183922",
            "telephone_number": "360-789-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF CLUB 21",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "360-789-4935"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.