Active NPI
Jet Recovery Behavioral Health LLC
- Community/Behavioral Health Agency
- Canon City, CO
National Provider Identifier
1538038625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- JET RECOVERY BEHAVIORAL HEALTH LLC
- Practice address
- 1250 Short St
Canon City, CO 81212-4462 - Phone
- (719) 431-9831
- NPI assigned
- Nov 5, 2025
- 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
- Taletha Senecal, LSW, LAC
- Title
- Director
- Phone
- (719) 431-9831
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Social Worker | 104100000X | |||
| Peer Specialist | 175T00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1250 Short St
Canon City, CO 81212-4462
Mailing address
1250 Short St
Canon City, CO 81212-4462
Phone (719) 431-9831
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Canon City, CO
- NPI 1265901821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777852800000",
"number": "1538038625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 SHORT ST",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812124462",
"telephone_number": "719-431-9831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 SHORT ST",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812124462",
"telephone_number": "719-431-9831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JET RECOVERY BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-05",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A",
"authorized_official_last_name": "SENECAL",
"authorized_official_first_name": "TALETHA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "719-431-9831",
"authorized_official_credential": "LSW, LAC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.