NPIMap

Organization Active NPI

Acqua Recovery Colorado

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1639934169
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ACQUA RECOVERY COLORADO
Practice address
3932 John F Kennedy Pkwy
Fort Collins, CO 80525-3084
Phone
(970) 987-2583
NPI assigned
Feb 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Scott William Lister, RN
Title
Coo
Phone
(970) 987-2583

Specialties & licenses 1

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

Addresses

Primary practice location

3932 John F Kennedy Pkwy
Fort Collins, CO 80525-3084

Mailing address

PO Box 982437
Park City, UT 84098-2437
Phone (970) 987-2583

National Provider Directory

National Provider Directory
Tax ID family
Acqua Recovery Colorado4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3932 John F Kennedy Pkwy
Fort Collins, CO 80525
Phone (970) 987-2583

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1639934169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 982437",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840982437",
            "telephone_number": "970-987-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3932 JOHN F KENNEDY PKWY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253084",
            "telephone_number": "970-987-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACQUA RECOVERY COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "LISTER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "970-987-2583",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.