MEDICARE: ENVERITAS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	175T00000X	Peer Specialist
2	101Y00000X	Counselor
3	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1376408641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENVERITAS, LLC

Provider Business Mailing Address
First Line	:	3600 S CLARKSON ST
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-7501
Country	:	US
Telephone Number	:	303-517-1287
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 S CLARKSON ST
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-7501
Country	:	US
Telephone Number	:	303-517-1287
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. MKALE WARNER
Credential	:	QBHA
Telephone Number	:	303-517-1287

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

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