Organization Active NPI

Second Wind Wellness, LLC.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Centennial, CO
National Provider Identifier
1477449676
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SECOND WIND WELLNESS, LLC.
Practice address
19951 E Red Fox LN
Centennial, CO 80015-3720
Phone
(303) 763-0573
NPI assigned
Jun 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Adam M. Diesi, AGACNP-BCNPI 1770307563
Title
Co-Owner
Phone
(303) 763-0573

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

19951 E Red Fox LN
Centennial, CO 80015-3720

Mailing address

19951 E Red Fox LN
Centennial, CO 80015-3720

Other names 1

  • Second Wind Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1477449676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19951 E RED FOX LN",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19951 E RED FOX LN",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153720",
            "telephone_number": "303-763-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND WIND WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-15",
        "status": "A",
        "authorized_official_last_name": "DIESI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "303-763-0573",
        "authorized_official_credential": "AGACNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Second Wind Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.