NPIMap

Organization Active NPI

Sobriety House, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Denver, CO
National Provider Identifier
1538409362
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SOBRIETY HOUSE, INC.
Practice address
121 W. 1St Ave.
Denver, CO 80223-1429
Phone
(303) 722-5746
NPI assigned
Feb 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Mr. William Dolan, LCSW, CACIII
Title
Ceo/Executive Director
Phone
(720) 381-4332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X 107200 CO

Addresses

Primary practice location

121 W. 1St Ave.
Denver, CO 80223-1429

Mailing address

121 Acoma St
Denver, CO 80223-1429
Phone (303) 722-5746

Other identifiers 2

IdentifierTypeStateIssuer
1083617344OtherCONPPES
35975245MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Sobriety House Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1538409362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ACOMA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802231429",
            "telephone_number": "303-722-5746",
            "fax_number": "303-722-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W. 1ST AVE.",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802231429",
            "telephone_number": "303-722-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBRIETY HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "720-381-4332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, CACIII"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CO",
            "license": "107200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1083617344",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35975245",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.