Active NPI
Friends of Club 21
- Day Training/Habilitation Specialist
- Colorado Springs, CO
National Provider Identifier
1275401796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 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 DirectoryLocations
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.