Active NPI
The Stout Street Foundation
- Substance Abuse Rehabilitation Facility
- Commerce City, CO
National Provider Identifier
1902109077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 1399-10
- Legal business name
- THE STOUT STREET FOUNDATION
- Practice address
- 7251 E 49TH Ave
Commerce City, CO 80022-4714 - Phone
- (303) 468-6148
- Fax
- (303) 468-6184
- NPI assigned
- Dec 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie Brydon, LCSW
- Title
- Supervisor
- Phone
- (720) 401-2340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 1399-10 | CO | Primary |
Addresses
Primary practice location
7251 E 49TH Ave
Commerce City, CO 80022-4714
Mailing address
7251 E 49TH Ave
Commerce City, CO 80022-4714
Phone (303) 468-6148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1339-10 | Other | CO | INTEISIVE RESIDENTAL TREATMENT |
National Provider Directory
National Provider Directory- Tax ID family
- Serenity
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Commerce City, CO
- NPI 1104248947
-
- Substance Abuse Rehabilitation Facility
- Commerce City, CO
- NPI 1619270766
-
- Substance Abuse Rehabilitation Facility
- Commerce City, CO
- NPI 1841377876
-
- Substance Abuse Rehabilitation Facility
- Commerce City, CO
- NPI 1992925077
-
- Community/Behavioral Health Agency
- Commerce City, CO
- NPI 1992969448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1902109077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7251 E 49TH AVE",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800224714",
"telephone_number": "303-468-6148",
"fax_number": "303-468-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7251 E 49TH AVE",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800224714",
"telephone_number": "303-468-6148",
"fax_number": "303-468-6184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE STOUT STREET FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-13",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A",
"authorized_official_last_name": "BRYDON",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "SUPERVISOR",
"authorized_official_telephone_number": "720-401-2340",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CO",
"license": "1399-10",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTEISIVE RESIDENTAL TREATMENT",
"identifier": "1339-10",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Commerce City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.