Organization Active NPI

Halo Reentry Inc.

  • Counselor
  • Colorado Springs, CO
National Provider Identifier
1760343156
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
HALO REENTRY INC.
Practice address
801 S Tejon St
Colorado Springs, CO 80903-4148
Phone
(719) 644-4387
NPI assigned
Nov 24, 2025
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Jeremy Jon Pavlik, QBHA/PRCNPI 1447111877
Title
Founder/Director
Phone
(719) 644-4387

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
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

801 S Tejon St
Colorado Springs, CO 80903-4148

Mailing address

801 S Tejon St
Colorado Springs, CO 80903-4148
Phone (719) 644-4387

National Provider Directory

National Provider Directory

Locations

801 S Tejon St
Colorado Springs, CO 80903
Phone (719) 644-4387

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": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1760343156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S TEJON ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034148",
            "telephone_number": "719-644-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S TEJON ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034148",
            "telephone_number": "719-644-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO REENTRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "PAVLIK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "FOUNDER/DIRECTOR",
        "authorized_official_telephone_number": "719-644-4387",
        "authorized_official_credential": "QBHA/PRC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "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 Nov 24, 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.