Rock Bottom Recovery Place, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

160701 Issued in CO

Legal business name

ROCK BOTTOM RECOVERY PLACE, LLC

Practice address

6910 Bandley Dr
Suite 135
Fountain, CO 80817-2617

Phone

(719) 382-5778

Fax

(719) 390-8239

NPI assigned

Jun 9, 2011

Last updated

Jun 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dolores J Walker, MA

Title

Ceo, Dir. Clinical Services

Phone

(719) 382-5778

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1407141260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 BANDLEY DR",
            "address_2": "SUITE 135",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808172617",
            "telephone_number": "719-382-5778",
            "fax_number": "719-390-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 BANDLEY DR",
            "address_2": "SUITE 135",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808172617",
            "telephone_number": "719-382-5778",
            "fax_number": "719-390-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK BOTTOM RECOVERY PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO, DIR. CLINICAL SERVICES",
        "authorized_official_telephone_number": "719-382-5778",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CO",
            "license": "160701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "4306",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAADAC MASTER ADDICTION COUNSELOR",
            "identifier": "507105",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Aileen Reynolds
• Kristin Richardson
• Caitlyn Rippeto
• Ashlie Robertson
• Kellie Jean Robertson, RBT
• Rocky Mountain Hope Counseling Center (Rocky Mountain Hope Counseling)
• Rocky Mountain Kids
• Anna Victoria Rodriquez
• Isabelle Espiritu Rolle
• Samantha Romo

• Substance Use Disorder Rehabilitation Clinic/Center in Fountain, CO
• Providers in Fountain, CO by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.