Brad's House Pueblo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRAD'S HOUSE PUEBLO

Practice address

422 Broadway Ave
Pueblo, CO 81004-2128

Phone

(719) 308-1213

NPI assigned

Apr 29, 2025

Last updated

Apr 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrick Haggard

Title

Billing Director

Phone

(719) 308-1213

Specialties & licenses 2

Addresses

Tax ID family

Brad's House Pueblo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Brad's House Pueblo

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Pueblo, CO
  • NPI 1437845690
  NPD tax ID

Locations

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1760270706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14960 WOODCARVER RD # 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212370",
            "telephone_number": "719-308-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 BROADWAY AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042128",
            "telephone_number": "719-308-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD'S HOUSE PUEBLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "HAGGARD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "719-308-1213"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Mae Boyd, LCSW
• Erin Boylan, LPC
• Chun CHI Brace, ND
• Braces4Kids, PLLC
• Brad's House Pueblo
• Jasmine N Braddock, OTR/L
• Carol Bradford
• William Micheal Bradford, LAC
• Bradley W. Smith, D.O., PLLC
• J Douglas Bradley, M.D.

• Mental Health Counselor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.