Organization Active NPI

Beyond Da Block Youth Peer Support LLC

  • Peer Specialist
  • Colorado Springs, CO
National Provider Identifier
1699684266
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
BEYOND DA BLOCK YOUTH PEER SUPPORT LLC
Practice address
5350 Solar Ridge Dr
Colorado Springs, CO 80917-1441
Phone
(719) 351-4809
NPI assigned
Sep 1, 2026
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Amanda Danelle MartinezNPI 1407765381
Title
Founder & Executive Director
Phone
(719) 351-4809

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

5350 Solar Ridge Dr
Colorado Springs, CO 80917-1441

Mailing address

5350 Solar Ridge Dr
Colorado Springs, CO 80917-1441
Phone (719) 351-4809

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1699684266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 SOLAR RIDGE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171441",
            "telephone_number": "719-351-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 SOLAR RIDGE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171441",
            "telephone_number": "719-351-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND DA BLOCK YOUTH PEER SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "DANELLE",
        "authorized_official_title_or_position": "FOUNDER & EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-351-4809"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 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.

Verify at the official NPI Registry.