Healthcare Provider Details

I. General information

NPI: 1225629553
Provider Name (Legal Business Name): COLORADO RECOVERY TMS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2021
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 WOODMOOR DR STE 102
MONUMENT CO
80132-9083
US

IV. Provider business mailing address

1840 WOODMOOR DR STE 102
MONUMENT CO
80132-9083
US

V. Phone/Fax

Practice location:
  • Phone: 719-622-6522
  • Fax: 719-622-6520
Mailing address:
  • Phone: 719-622-6522
  • Fax: 719-622-6520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHLEY BROOKE JOHNSON
Title or Position: PSYCHIATRIST
Credential: DO
Phone: 719-622-6522