NPIMap

Organization Active NPI

Harbor House Collaborative

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
National Provider Identifier
1841469608
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1614-01 Issued in CO
Legal business name
HARBOR HOUSE COLLABORATIVE
Practice address
1710 E. Pikes Peak Avenue,
Suite 100
Colorado Springs, CO 80909-5745
Phone
(719) 473-5557
Fax
(719) 473-6442
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Christine L Burns
Title
Executive Director
Phone
(719) 473-5557

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1614-01 CO
Community/Behavioral Health Agency 251S00000X 1614-01 CO Primary

Addresses

Primary practice location

1710 E. Pikes Peak Avenue,
Suite 100
Colorado Springs, CO 80909-5745

Mailing address

1710 E. Pikes Peak Avenue,
Suite 100
Colorado Springs, CO 80909-5745
Phone (719) 473-5557

Other identifiers 2

IdentifierTypeStateIssuer
14675773MedicaidCO
1614-01OtherCOALCOHOL AND DRUG ABUSE DI

Other names 1

  • Harbor House Clinic Other name

National Provider Directory

National Provider Directory

Locations

1710 E Pikes Peak Ave
Ste 100
Colorado Springs, CO 80909
Phone (719) 473-5557

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1841469608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E. PIKES PEAK AVENUE,",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095745",
            "telephone_number": "719-473-5557",
            "fax_number": "719-473-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E. PIKES PEAK AVENUE,",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095745",
            "telephone_number": "719-473-5557",
            "fax_number": "719-473-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOUSE COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-473-5557"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CO",
            "license": "1614-01",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1614-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14675773",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALCOHOL AND DRUG ABUSE DI",
            "identifier": "1614-01",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor House Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 23, 2010; 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.