NPIMap

Organization Active NPI

Diversus Health Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1619512191
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
DIVERSUS HEALTH INC
Practice address
413 Security Blvd
Colorado Springs, CO 80911-1773
Phone
(719) 572-6100
NPI assigned
Nov 8, 2019
Organization subpart
Yes
Parent organization
DIVERSUS HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Gene Contreras
Title
VP, Accounting & Finance
Phone
(719) 572-6197

Specialties & licenses 1

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

Addresses

Primary practice location

413 Security Blvd
Colorado Springs, CO 80911-1773

Mailing address

220 Ruskin Dr
Colorado Springs, CO 80910-2522
Phone (719) 572-6100

Other practice location 1

350 Lyckman Pl
Fountain, CO 80817-2861
Phone (719) 572-6100

Other identifiers 1

IdentifierTypeStateIssuer
9000154183MedicaidCO

Other names 2

  • Diversus Health Services Doing business as
  • AspenPointe Inc dba AspenPointe Health Services Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329000837 CO Part B Supplier - Clinic/Group Practice 7719879204 Receives reassigned benefits from 76 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Woodland Park, CO; Fairplay, CO; Cripple Creek, CO; Colorado Springs, CO; Bailey, CO; Calhan, CO

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1619512191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RUSKIN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102522",
            "telephone_number": "719-572-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SECURITY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809111773",
            "telephone_number": "719-572-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Lyckman Pl",
            "address_purpose": "LOCATION",
            "city": "Fountain",
            "state": "CO",
            "postal_code": "808172861",
            "country_code": "US",
            "telephone_number": "719-572-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVERSUS HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVERSUS HEALTH INC",
        "enumeration_date": "2019-11-08",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "VP, ACCOUNTING & FINANCE",
        "authorized_official_telephone_number": "719-572-6197"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000154183",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversus Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AspenPointe Inc dba AspenPointe Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "AspenPointe Inc dba AspenPointe Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.