NPIMap

Organization Active NPI

Tribe Recovery Services, Inc

  • Multi-Specialty Clinic/Center
  • Boulder, CO
National Provider Identifier
1891434916
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TRIBE RECOVERY SERVICES, INC
Practice address
2043 Pearl St
Boulder, CO 80302-4429
Phone
(720) 608-7423
NPI assigned
May 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Thomas Hernandez
Title
Ceo/Founder
Phone
(720) 608-7423

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2043 Pearl St
Boulder, CO 80302-4429

Mailing address

3482 Broadway St
Boulder, CO 80304-1824
Phone (720) 608-7423

National Provider Directory

National Provider Directory
Tax ID family
Tribe Recovery Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

2043 Pearl St
Boulder, CO 80302
Phone (303) 443-8592

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1891434916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3482 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041824",
            "telephone_number": "720-608-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 PEARL ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024429",
            "telephone_number": "720-608-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBE RECOVERY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "720-608-7423"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.