MEDICARE: REDPOINT CENTER, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	261QM0850X	Adult Mental Health Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1255123287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDPOINT CENTER, LLC

Provider Business Mailing Address
First Line	:	1831 LEFTHAND CIR STE H
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80501-6768
Country	:	US
Telephone Number	:	630-631-6817
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 S COLLEGE AVE STE 3D
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-2562
Country	:	US
Telephone Number	:	888-509-3153
Fax Number	:	720-442-8318

Authorized Official
Title or Position	:	CEO
Name	:	DONNIE HAGENBART
Credential	:
Telephone Number	:	630-631-6817

Provider Enumeration Date	:	05/17/2025
Last Update Date	:	05/17/2025

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