Acqua Recovery Colorado

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ACQUA RECOVERY COLORADO

Practice address

5353 Manhattan Cir Ste 101
Boulder, CO 80303-4200

Phone

(303) 736-2536

NPI assigned

Jun 25, 2025

Last updated

Jun 25, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

ACQUA RECOVERY COLORADOAs reported in NPPES

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

Authorized official

Name

Mr. Scottq Lister, RN

Title

Coo

Phone

(970) 987-2583

Specialties & licenses 1

Addresses

Tax ID family

Acqua Recovery Colorado4 organizations share this tax ID, including this one

Part of

Acqua Recovery Colorado

Other organizations with this tax ID 3

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

• Acqua Recovery Colorado

  • Adult Mental Health Clinic/Center
  • Fort Collins, CO
  • NPI 1548158728
  NPD tax ID
• Acqua Recovery Colorado

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Collins, CO
  • NPI 1639934169
  NPD tax ID
• Acqua Recovery Colorado

  • Adult Mental Health Clinic/Center
  • Boulder, CO
  • NPI 1750279931
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Acqua Recovery Colorado

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Collins, CO
  • NPI 1639934169
  NPPES parent name

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1871481150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 982437",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840982437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 MANHATTAN CIR STE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034200",
            "telephone_number": "303-736-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACQUA RECOVERY COLORADO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACQUA RECOVERY COLORADO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "LISTER",
        "authorized_official_first_name": "SCOTTQ",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "970-987-2583",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lou Acimovic, M.A.
• Gila Ethel Ackerman, M.D.
• Todd M Ackerman, CMT, RMT, NMT
• Dakotah C Acosta, MA
• Acqua Recovery Colorado
• Active Solutions Physical Therapy, P.C.
• Acupuncture and Diabetes Management LLC (Premier Acupuncture of Boulder)
• Acupuncture Clinic of Boulder, Inc.
• Courtney Adair
• Brett Adamek

• Substance Use Disorder Rehabilitation Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.