MEDICARE: BREAKTHROUGH ADDICTION AND PHYSCHIATRIC SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TP0016X	Prescribing (Medical) Psychologist
2	103TA0400X	Addiction (Substance Use Disorder) Psychologist

General Provider Information

NPI Number	:	1811851298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREAKTHROUGH ADDICTION AND PHYSCHIATRIC SERVICES LLC

Provider Business Mailing Address
First Line	:	19958 E UNION DR
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80015-3493
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1633 FILLMORE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-1514
Country	:	US
Telephone Number	:	941-307-0912
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OF OPERATIONS
Name	:	TROY RASMUSSEN
Credential	:
Telephone Number	:	720-957-2388

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

Similar Medicare Providers

1366443194 — DR. NICK A VENUTO DDS
Practice Location Address:

1633 FILLMORE ST , STE 200
DENVER, CO
80206-1514

Practice Phone: 303-377-4747
Practice Fax: 303-377-5126

1821078965 — NAMASTE CARE GROUP, LLC
Practice Location Address:

1633 FILLMORE ST , SUITE 300
DENVER, CO
80206-1514

Practice Phone: 303-860-9915
Practice Fax:

1386672301 — DR. DANIEL WESLEY RAY D.M.D.,M.S.
Practice Location Address:

1633 FILLMORE ST , SUITE 112
DENVER, CO
80206-1514

Practice Phone: 303-861-8872
Practice Fax: 303-399-1081

1568495844 — KENNETH KAUVAR MD
Practice Location Address:

1633 FILLMORE ST , STE 404
DENVER, CO
80206-1514

Practice Phone: 303-399-0150
Practice Fax: 303-399-0159

1356481998 — PAUL NORMAN HENDRICKSON CP
Practice Location Address:

1633 FILLMORE ST , GL5
DENVER, CO
80206-1514

Practice Phone: 303-316-2615
Practice Fax: 303-331-9019

1760525109 — WILLIAM A LOCY EDD
Practice Location Address:

1633 FILLMORE ST , STE 410
DENVER, CO
80206-1514

Practice Phone: 303-333-4559
Practice Fax: 303-333-0057

Directions to “BREAKTHROUGH ADDICTION AND PHYSCHIATRIC SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.