Providence Recovery Service of Colorado LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

PROVIDENCE RECOVERY SERVICE OF COLORADO LLC

Practice address

390 Yampa Boulevard
Craig, CO 81625-2600

Phone

(709) 824-5433

NPI assigned

Jul 1, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Tina Rene Vest

Title

Billing Director

Phone

(662) 625-7111

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Louise Drake, OTR

  • Occupational Therapist
  • Meeker, CO
  • NPI 1063840486
  NPD

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1306408216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 895",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816260895",
            "telephone_number": "970-878-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 YAMPA BOULEVARD",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252600",
            "telephone_number": "709-824-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE RECOVERY SERVICE OF COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "VEST",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "662-625-7111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "390 Yampa Boulevard",
            "city": "Craig",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816252600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shelly Ann Pinnt
• Valerie J Pleasant, PT
• Cinde K Porter, PA
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• John K Prescott, CRNA
• Rabbit Ears PLLC
• Rabbit Ears PLLC
• Jorgiea Marie Raftopoulos, M.S., CCC-SLP
• Rebecca L. Moore MD Prof Co LTD
• Redrock Eye Surgeons P C

• Addiction (Substance Use Disorder) Counselor in Craig, CO
• Providers in Craig, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.