Edelen Enterprises, Inc. D/B/a Recovery 360

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

EDELEN ENTERPRISES, INC. D/B/A RECOVERY 360

Doing business as

Edelen Enterprises, Inc. d/b/a Blue Pine Recovery

Practice address

7350 E. Progress Place
Suite 100
Greenwood Village, CO 80111-2130

Phone

(720) 854-5959

NPI assigned

Jun 21, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Ronny M. De Carlo, LMFT, LAC, LPC

Title

President/Executive Director

Phone

(720) 854-5959

Specialties & licenses 4

Addresses

Other names 1

• Edelen Enterprises, Inc. d/b/a Blue Pine Recovery Doing business as

Locations

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1821319112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 E. PROGRESS PLACE",
            "address_2": "SUITE 100",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112130",
            "telephone_number": "720-854-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 E. PROGRESS PLACE",
            "address_2": "SUITE 100",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112130",
            "telephone_number": "720-854-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDELEN ENTERPRISES, INC. D/B/A RECOVERY 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "DE CARLO",
        "authorized_official_first_name": "RONNY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "720-854-5959",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT, LAC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edelen Enterprises, Inc. d/b/a Blue Pine Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Michelle Earhart, APN
• East West Family Health LLC
• Jesure Eaton, MFTC
• Jillian Eaton, FNP-C
• Andrew T Ecker, BA
• Eden Wellness LLC
• Sheila Edmonds, RN
• Bryan Christian Edwards, ATC
• Morgan Edwards
• Susan Edwards, RN

• Marriage & Family Therapist in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.