PEER COACH ACADEMY COLORADO (NPI# 1023620440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023620440 |
| Entity Type | Organization |
| Organization Name | PEER COACH ACADEMY COLORADO |
| Practice Address |
1102 S 21st St Colorado Springs CO 80904-3708 |
| Practice Telephone | 8006048978 |
| Mailing Telephone | 8006048978 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | ROD E RUSHING (DIRECTOR) |
| Authorized Official Telephone | 7204355320 |
| Authorized Official Credential | CACIII |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 1417288804 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PEER COACH ACADEMY COLORADO INC. | 2614 W Pikes Peak Avenue, Colorado Springs, CO 80904-3040 |
| Street Address |
1102 S 21ST ST |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80904-3708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417288804 | Rod Eugene Rushing | Counselor | 1102 S 21st St, Colorado Springs, CO 80904-3708 | 2010-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084133 | Tclllc | Behavioral Analyst | 2822 W Cucharras Street, Colorado Springs, CO 80904 | 2020-08-17 |
| 1770131971 | Jill Case Brown | Technician | 3002 W. Kiowa St., Colorado Springs, CO 80904 | 2019-08-30 |
| 1457888232 | Marcia W. Soule Dobson | Counselor | 3510 Temple Drive, Colorado Springs, CO 80904 | 2017-05-11 |
| 1184163610 | Home Healthcare Staffing Solutions Inc | Home Health | 3117 Chambers Way, Colorado Springs, CO 80904 | 2017-02-16 |
| 1104242700 | Optumcare Colorado Springs, LLC | Non-Pharmacy Dispensing Site | 600 S 21st Street, Ste 100, Colorado Springs, CO 80904 | 2014-03-07 |
| 1639595382 | Jessyca Sonia Sterner | Counselor | 2514 Colorado Ave, Suite 200, Colorado Springs, CO 80904 | 2014-03-05 |
| 1508291956 | Diane Chisesi | Anesthesiology | 2517 B. King Street, Colorado Springs, CO 80904 | 2013-09-04 |
| 1124363635 | Piotr Bieniek | Physical Therapy Assistant | 1133 Adams Dr, Colorado Springs, CO 80904 | 2012-12-10 |
| 1235480526 | Barry G. Zile | Physical Therapy Assistant | 1685 S. 21st Street, Colorado Springs, CO 80904 | 2012-09-26 |
| 1326397076 | Christie Sheffer | Midwife | 2524 W. Colorado Avenue, Suite 209, Colorado Springs, CO 80904 | 2012-09-09 |
| Find all providers in zip 80904 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080386 | Adventure Learning Behavioral Interventions | Community/Behavioral Health | 5423 Spoked Wheel Dr, Colorado Springs, CO 80923-8741 | 2020-10-15 |
| 1164046561 | Rehab for All LLC | Community/Behavioral Health | 2005 Aeroplaza Dr # 235, Colorado Springs, CO 80916-4207 | 2020-06-01 |
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1063056984 | Mingo Health Solutions | Community/Behavioral Health | 525 N Cascade Ave Ste 115, Colorado Springs, CO 80903-3308 | 2019-11-04 |
| 1245891688 | New Heights Counseling Services LLC | Community/Behavioral Health | 2790 N Academy Blvd Ste 347, Colorado Springs, CO 80917-5328 | 2019-06-26 |
| 1558920538 | Barber Family Counseling | Community/Behavioral Health | 5373 N Union Blvd Ste 203, Colorado Springs, CO 80918-2073 | 2019-06-12 |
| 1114583572 | Higher Peaks Counseling, LLC | Community/Behavioral Health | 703 N Tejon St Ste B, Colorado Springs, CO 80903-1050 | 2019-05-11 |
| 1467927178 | Child Community Services | Community/Behavioral Health | 2175 Academy Cir Ste 1, Colorado Springs, CO 80909-1695 | 2018-10-09 |
| 1831678796 | Todd Rowe, Lmft, LLC | Community/Behavioral Health | 6645 Delmonico Dr Ste 103, Colorado Springs, CO 80919-1892 | 2018-08-11 |
| 1639682453 | Mt. Carmel Veteran Service Center | Community/Behavioral Health | 530 Communication Cir, Colorado Springs, CO 80905-1744 | 2017-11-15 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80904 |
Please comment or provide details below to improve the information on PEER COACH ACADEMY COLORADO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.