NPIMap

Organization Active NPI

Recovery Village at Palmer Lake, LLC

Doing business as Denver Mental Health and Counseling by The Recovery Village

  • Substance Abuse Rehabilitation Facility
  • Highlands Ranch, CO
National Provider Identifier
1457008526
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RECOVERY VILLAGE AT PALMER LAKE, LLC
Doing business as
Denver Mental Health and Counseling by The Recovery Village
Practice address
630 Plaza Dr
Highlands Ranch, CO 80129-2379
Phone
(754) 300-3120
Fax
(888) 919-4431
NPI assigned
Mar 8, 2022
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
THE RECOVERY VILLAGE PALMER LAKEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Belina Surujon
Title
Contracting & Licensing Director
Phone
(754) 300-3120

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

630 Plaza Dr
Highlands Ranch, CO 80129-2379

Mailing address

2200 N Commerce Pkwy Ste 200
Weston, FL 33326-3258
Phone (754) 300-3120

Other names 1

  • Denver Mental Health and Counseling by The Recovery Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Recovery Village at Palmer Lake LLC6 organizations share this tax ID, including this one
Part of
Recovery Village at Palmer Lake LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

630 Plaza Dr
Highlands Ranch, CO 80129

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1457008526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N COMMERCE PKWY STE 200",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263258",
            "telephone_number": "754-300-3120",
            "fax_number": "888-919-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PLAZA DR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292379",
            "telephone_number": "754-300-3120",
            "fax_number": "888-919-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY VILLAGE AT PALMER LAKE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE RECOVERY VILLAGE PALMER LAKE",
        "enumeration_date": "2022-03-08",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "SURUJON",
        "authorized_official_first_name": "BELINA",
        "authorized_official_title_or_position": "CONTRACTING & LICENSING DIRECTOR",
        "authorized_official_telephone_number": "754-300-3120"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Mental Health and Counseling by The Recovery Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Denver Mental Health and Counseling by The Recovery Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.