Healthcare Provider Details

I. General information

NPI: 1811851298
Provider Name (Legal Business Name): BREAKTHROUGH ADDICTION AND PSYCHIATRIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14901 E HAMPDEN AVE STE 200
AURORA CO
80014-5037
US

IV. Provider business mailing address

19958 E UNION DR
CENTENNIAL CO
80015-3493
US

V. Phone/Fax

Practice location:
  • Phone: 720-957-2388
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License Number
License Number State

VIII. Authorized Official

Name: TROY RASMUSSEN
Title or Position: CHIEF OF OPERATIONS
Credential:
Phone: 720-957-2388