NPIMap

Organization Active NPI

Crestone Acf

  • Mental Illness Community Based Residential Treatment Facility
  • Thornton, CO
National Provider Identifier
1922558006
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
2304H0 Issued in CO
Legal business name
CRESTONE ACF
Practice address
621 W 96TH Ave
Thornton, CO 80260-5469
Phone
(303) 853-3500
Fax
(303) 426-9340
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Mr. Richard Doucet
Title
Ceo
Phone
(303) 853-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 2304H0 CO Primary

Addresses

Primary practice location

621 W 96TH Ave
Thornton, CO 80260-5469

Mailing address

1870 W 122ND Ave Ste 100
Westminster, CO 80234-2075
Phone (303) 853-3500

National Provider Directory

National Provider Directory
Tax ID family
Adams County Mental Health Center43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

Locations

8931 Huron St
Thornton, CO 80260
Phone (303) 853-3433

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1922558006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W 122ND AVE STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342075",
            "telephone_number": "303-853-3500",
            "fax_number": "303-426-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W 96TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802605469",
            "telephone_number": "303-853-3500",
            "fax_number": "303-426-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTONE ACF",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "DOUCET",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-853-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CO",
            "license": "2304H0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.