Jeremy Jon Pavlik, QBHA/PRC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

801 S Tejon St
Colorado Springs, CO 80903-4148

Phone

(719) 644-4387

NPI assigned

Nov 24, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Halo Reentry Inc.

  • Counselor
  • Colorado Springs, CO
  • NPI 1760343156
  NPD Authorized official
• Halo Reentry LLC

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
  • NPI 1477486322
  NPD Authorized official

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1447111877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S TEJON ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034148",
            "telephone_number": "719-644-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S TEJON ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034148",
            "telephone_number": "719-644-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLIK",
        "first_name": "JEREMY",
        "middle_name": "JON",
        "credential": "QBHA/PRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Pauser
• Dale L Pavek, D.D.S.
• Virginia Paver, APN
• Elena Pavlenko, RN
• Peter Pavlick, RPH
• Predrag Pavlovic, D.O.
• Maria Pawlik, MSSW, LCSW
• Cherll Paxton, MA, NCC
• Paxxon Healthcare Services LLC
• Maria Del Sagrario Payares Arevalo

• Peer Specialist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Peer Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.