Centerboard Recovery Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1707-01 Issued in CO

Legal business name

CENTERBOARD RECOVERY CENTER

Practice address

2105 E Virginia Ave
Suite 3
Denver, CO 80209-2721

Phone

(720) 324-0008

NPI assigned

Feb 13, 2012

Last updated

Sep 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Anne Sutherland, M.ED, CAC IIINPI 1003242611

Title

Clinical Director

Phone

(720) 324-0008

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Anne Sutherland, M.ED, CAC III

  • Addiction (Substance Use Disorder) Counselor
  • Denver, CO
  • NPI 1003242611
  NPD (past) Authorized official

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1992078570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 S SHERMAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802104014",
            "telephone_number": "720-324-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E VIRGINIA AVE",
            "address_2": "SUITE 3",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092721",
            "telephone_number": "720-324-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERBOARD RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "720-324-0008",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED, CAC III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1707-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Valued Living, PLLC
• Center for Valued Living, PLLC
• Alexandra Diane Center
• Kristy Center, PH.D.
• Tej Center, OTR/L
• Centerboard Wellness Center
• Centered Counseling LLC
• Centerpoint Healing PLLC (Centerpoint)
• Centerpoint Integrative Psychiatry PLLC
• Central Park TMS

• Community/Behavioral Health Agency in Denver, CO
• Providers in Denver, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.