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1235216532

NPI Code Detail

MEDICARE: REGENTS OF THE UNIVERSITY OF COLORADO

MEDICARE: REGENTS OF THE UNIVERSITY OF COLORADO

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	251S00000X	Community/Behavioral Health Agency	1094	CO
2	261QM2800X	Methadone Clinic	1094	CO
3	3245S0500X	Children's Substance Abuse Rehabilitation Facility	1094	CO
4	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	1094	CO

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235216532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGENTS OF THE UNIVERSITY OF COLORADO

Provider Business Mailing Address
First Line	:	3738 W PRINCETON CIR
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80236-3110
Country	:	US
Telephone Number	:	303-761-6703
Fax Number	:	303-762-2181

Provider Business Practice Location Address
First Line	:	3738 W PRINCETON CIR
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80236-3110
Country	:	US
Telephone Number	:	303-761-6703
Fax Number	:	303-762-2181

Authorized Official
Title or Position	:	ARTS EXECUTIVE DIRECTOR
Name	:	KRISTEN DIXION
Credential	:	LPC
Telephone Number	:	303-761-6703

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	05/15/2019

Similar Medicare Providers

1679694897 — JENNIFER MARIE STEPHENS M.A., L.P.C.
Practice Location Address:

3738 W PRINCETON CIR
DENVER, CO
80236-3110

Practice Phone: 720-670-7029
Practice Fax: 303-762-2196

1205048899 — IRENE G. ARGUELLES L.P.C.
Practice Location Address:

3738 W PRINCETON CIR
DENVER, CO
80236-3110

Practice Phone: 303-781-7875
Practice Fax:

1255545745 — ALEXIE CISNEROS-JOHNSON DEVINE LPC
Practice Location Address:

3738 W PRINCETON CIR
DENVER, CO
80236-3110

Practice Phone: 303-934-1008
Practice Fax: 303-934-1262

1396959904 — SUSAN JANE KRILL-SMITH LCSW
Practice Location Address:

3738 W PRINCETON CIR
DENVER, CO
80236-3110

Practice Phone: 303-781-7875
Practice Fax: 303-762-2196

1780856351 — ERIN DE MORANVILLE
Practice Location Address:

3738 W PRINCETON CIR
DENVER, CO
80236-3110

Practice Phone: 303-781-7875
Practice Fax:

1356648133 — MS. JULIE SUZANNE KROW M.A.
Practice Location Address:

3738 W PRINCETON CIR
DENVER, CO
80236-3110

Practice Phone: 303-761-6703
Practice Fax: 303-783-5164

Directions to “REGENTS OF THE UNIVERSITY OF 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.

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