Life Recovery Center

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

LIFE RECOVERY CENTER

Practice address

11658 Huron St
Suite 400
Northglenn, CO 80234-2919

Phone

(303) 252-4179

NPI assigned

Mar 9, 2017

Organization subpart

No

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

Authorized official

Name

Alex Castro

Title

Clinical Director

Phone

(303) 525-4179

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Laura Rivera, MA,LPC,NCC,CAS,ATP,C

  • Mental Health Counselor
  • Denver, CO
  • NPI 1164932265
  NPD (past)

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629519715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9028 GALE BLVD UNIT 1",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802604939",
            "telephone_number": "720-044-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11658 HURON ST",
            "address_2": "SUITE 400",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342919",
            "telephone_number": "303-252-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "303-525-4179"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740608959",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heili Dawn Lehr, LPC
• Katherine Elizabeth Leiter, OT
• Kelly Leonard
• Dezarae Leone
• Cari Elizabeth Lewis
• Life'S Hope Therapeutic Services
• Life'S Hope Therapeutic Services PLLC
• Lifetime Speech and Stuttering Therapy, LLC
• April Gene' Light, MT(ASCP)
• Kristen Linville

• Preferred Provider Organization in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Preferred Provider Organization in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.