| Colorado Recovery Solutions | |
|
1840 Woodmoor Dr Ste 102 Monument CO 80132-9083 | |
| (719) 622-6522 | |
| (719) 622-6520 |
| Full Name | Colorado Recovery Solutions |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1840 Woodmoor Dr Ste 102, Monument, Colorado |
| Authorized Official Name and Position | Ashley Brooke Johnson (PSYCHIATRIST) |
| Authorized Official Contact | 7196226522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Recovery Solutions 1840 Woodmoor Dr Ste 102 Monument CO 80132-9083 Ph: (719) 622-6522 | Colorado Recovery Solutions 1840 Woodmoor Dr Ste 102 Monument CO 80132-9083 Ph: (719) 622-6522 |
| NPI Number | 1225629553 |
|---|---|
| Provider Enumeration Date | 01/29/2021 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Medicare PECOS PAC ID | 2163822511 |
|---|---|
| Medicare Enrollment ID | O20210607002840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225629553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Secondary |
| Provider Name | Ryan D Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184623878 PECOS PAC ID: 5496718611 Enrollment ID: I20170124002573 |
| Provider Name | Ashley Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144398454 PECOS PAC ID: 3870993256 Enrollment ID: I20210608000687 |
| Provider Name | Clinton E Nicholson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770079816 PECOS PAC ID: 7315489390 Enrollment ID: I20240605002399 |
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