MEDICARE: PEER COACH ACADEMY COLORADO

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	1041C0700X	Clinical Social Worker
3	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023620440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEER COACH ACADEMY COLORADO

Provider Business Mailing Address
First Line	:	411 S CASCADE AVE STE 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-3811
Country	:	US
Telephone Number	:	800-604-8978
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 S CASCADE AVE STE 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-3811
Country	:	US
Telephone Number	:	800-604-8978
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ROD E RUSHING
Credential	:	CACIII
Telephone Number	:	720-435-5320

Provider Enumeration Date	:	08/18/2020
Last Update Date	:	12/18/2025

Similar Medicare Providers

1366019374 — BRITTANY KRISTEN DACUS CAS
Practice Location Address:

411 S CASCADE AVE STE 100
COLORADO SPRINGS, CO
80903-3811

Practice Phone: 719-419-7959
Practice Fax:

1629462270 — CHERYL PRICE
Practice Location Address:

956 PISTOL RIVER WAY
COLORADO SPRINGS, CO
80921-3811

Practice Phone: 719-332-7404
Practice Fax:

1295409647 — MRS. REBECCA LYNN BLACKMON LPC
Practice Location Address:

1923 GUARDIAN WAY
COLORADO SPRINGS, CO
80919-3811

Practice Phone: 303-883-7022
Practice Fax:

1295288066 — ANNE BROWN
Practice Location Address:

421 S TEJON ST
COLORADO SPRINGS, CO
80903-2131

Practice Phone: 719-424-5330
Practice Fax:

1497693188 — LAJOIE HEALTH SERVICES INC
Practice Location Address:

920 E PLATTE AVE
COLORADO SPRINGS, CO
80903-3536

Practice Phone: 719-644-6859
Practice Fax:

1578401279 — MEGAN BATES
Practice Location Address:

315 N WEBER ST
COLORADO SPRINGS, CO
80903-1230

Practice Phone: 719-314-6294
Practice Fax:

Directions to “PEER COACH ACADEMY COLORADO ” 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 © 2007-2026 (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.