NPIMap

Organization Active NPI

Brad'S House Mesa Ridge LLC

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1316735855
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRAD'S HOUSE MESA RIDGE LLC
Practice address
646 Dexter St
Colorado Springs, CO 80911-2542
Phone
(719) 641-7051
NPI assigned
Apr 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Patrick Haggard
Title
Billing Director
Phone
(719) 641-7051

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

646 Dexter St
Colorado Springs, CO 80911-2542

Mailing address

14960 Woodcarver Rd
Colorado Springs, CO 80921-2370

Other names 1

  • Brads House Mesa Ridge Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brad'S House Mesa Ridge LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1316735855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14960 WOODCARVER RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 DEXTER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809112542",
            "telephone_number": "719-641-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD'S HOUSE MESA RIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "HAGGARD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "719-641-7051"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brads House Mesa Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 25, 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.