Organization Active NPI

Kaleidoscope Recovery & Peer Center, LLC

  • Peer Specialist
  • Wheat Ridge, CO
National Provider Identifier
1790576528
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
KALEIDOSCOPE RECOVERY & PEER CENTER, LLC
Practice address
4485 Wadsworth Blvd Ste 110
Wheat Ridge, CO 80033-3309
Phone
(303) 483-5646
Fax
(303) 800-9789
NPI assigned
May 13, 2025
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Laurie Antonia Perlman
Title
Ceo/Owner
Phone
(720) 737-9991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NU Primary

Addresses

Primary practice location

4485 Wadsworth Blvd Ste 110
Wheat Ridge, CO 80033-3309

Mailing address

4485 Wadsworth Blvd Ste 110
Wheat Ridge, CO 80033-3309
Phone (303) 483-5646

National Provider Directory

National Provider Directory
Tax ID family
Kaleidoscope Recovery Peer Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4485 Wadsworth Blvd
Ste 110
Wheat Ridge, CO 80033
Phone (303) 483-5646

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1790576528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 WADSWORTH BLVD STE 110",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333309",
            "telephone_number": "303-483-5646",
            "fax_number": "303-800-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 WADSWORTH BLVD STE 110",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333309",
            "telephone_number": "303-483-5646",
            "fax_number": "303-800-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDOSCOPE RECOVERY & PEER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "PERLMAN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ANTONIA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "720-737-9991"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.