NPIMap

Organization Active NPI

Diversus Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodland Park, CO
National Provider Identifier
1295585040
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DIVERSUS HEALTH INC
Practice address
18401 Highway 24 Ste 119
Woodland Park, CO 80863-9036
Phone
(719) 572-6100
NPI assigned
Mar 25, 2024
Organization subpart
Yes
Parent organization
DIVERSUS HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Gene Contreras
Title
VP Accounting and Finance
Phone
(719) 572-6197

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

18401 Highway 24 Ste 119
Woodland Park, CO 80863-9036

Mailing address

220 Ruskin Dr
Colorado Springs, CO 80910-2522
Phone (719) 572-6100

Other names 1

  • Diversus Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Diversus Health Inc31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1295585040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RUSKIN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102522",
            "telephone_number": "719-572-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18401 HIGHWAY 24 STE 119",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808639036",
            "telephone_number": "719-572-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSUS HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVERSUS HEALTH INC",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "VP ACCOUNTING AND FINANCE",
        "authorized_official_telephone_number": "719-572-6197"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversus Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diversus Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.