Healthcare Provider Details

I. General information

NPI: 1922914795
Provider Name (Legal Business Name): COMPASS PEER SUPPORT CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 TERRY ST STE 200
LONGMONT CO
80501-5464
US

IV. Provider business mailing address

350 TERRY ST STE 200
LONGMONT CO
80501-5464
US

V. Phone/Fax

Practice location:
  • Phone: 919-375-0475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: STEVEN ZAUDERER
Title or Position: CEO
Credential:
Phone: 919-375-0475