NPIMap

Organization Active NPI

La Raza Services, Inc.

Doing business as Servicios de la Raza

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pueblo, CO
National Provider Identifier
1487461497
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LA RAZA SERVICES, INC.
Doing business as
Servicios de la Raza
Practice address
805 W 4TH St
Pueblo, CO 81003-2305
Phone
(719) 359-4783
NPI assigned
Dec 12, 2024
Last updated
Dec 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Ricky Lynn Thompson, LCSW, LAC
Title
Co-Director
Phone
(720) 591-9440

Specialties & licenses 1

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

Addresses

Primary practice location

805 W 4TH St
Pueblo, CO 81003-2305

Mailing address

3131 W 14TH Ave
Denver, CO 80204-2203
Phone (303) 458-5851

Other names 1

  • Servicios de la Raza Doing business as

National Provider Directory

National Provider Directory
Tax ID family
La Raza Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

805 W 4th St
Pueblo, CO 81003
Phone (719) 359-4240

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1487461497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 W 14TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042203",
            "telephone_number": "303-458-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W 4TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032305",
            "telephone_number": "719-359-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA RAZA SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "720-591-9440",
        "authorized_official_credential": "LCSW, LAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Servicios de la Raza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.