Active NPI
Road to Me Recovery Services
- Clinic/Center
- Arvada, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ROAD TO ME RECOVERY SERVICES
- Practice address
- 10050 Ralston Rd # 1
Arvada, CO 80004-4974 - Phone
- (720) 583-6145
- NPI assigned
- Oct 27, 2021
- 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
- Katie Brydon, LCSW, LAC, MAC
- Title
- Therapist
- Phone
- (720) 401-2340
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
10050 Ralston Rd # 1
Arvada, CO 80004-4974
Mailing address
11857 Keough Dr
Northglenn, CO 80233-1221
Phone (720) 401-2340
Other practice location 1
11857 Keough Dr
Northglenn, CO 80233-1221
Phone (720) 401-2340
Other practice location 2
11857 Keough Dr
Northglenn, CO 80233-1221
Phone (720) 401-2340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Arvada, CO
- NPI 1801760541
O20211220000284
National Provider Directory
National Provider Directory- Tax ID family
- Road to Me Recovery Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Studio Integration
- Addiction (Substance Use Disorder) Counselor
- Arvada, CO
- NPI 1437834744
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Arvada, CO
- NPI 1801760541
-
- Nurse Practitioner
- Arvada, CO
- NPI 1841112968
Locations
10050 Ralston Rd
Ste 1B
Arvada, CO 80004
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Arvada, CO
- NPI 1619308194
Addiction (Substance Use Disorder)
-
- Family Nurse Practitioner
- Arvada, CO
- NPI 1518742857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637539200000",
"number": "1407510357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11857 KEOUGH DR",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802331221",
"telephone_number": "720-401-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10050 RALSTON RD # 1",
"city": "ARVADA",
"state": "CO",
"postal_code": "800044974",
"telephone_number": "720-583-6145"
}
],
"practiceLocations": [
{
"address_1": "11857 Keough Dr",
"address_purpose": "LOCATION",
"city": "Northglenn",
"state": "CO",
"postal_code": "802331221",
"country_code": "US",
"telephone_number": "720-401-2340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11857 Keough Dr",
"address_purpose": "LOCATION",
"city": "Northglenn",
"state": "CO",
"postal_code": "802331221",
"country_code": "US",
"telephone_number": "720-401-2340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ROAD TO ME RECOVERY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-27",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A",
"authorized_official_last_name": "BRYDON",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "720-401-2340",
"authorized_official_credential": "LCSW, LAC, MAC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.