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ALAN DONALD CAC II
NPI 1033693049
Counselor - Addiction (Substance Use Disorder) in Canon City, CO

Active since September 17, 2018PECOS Enrolled
602 YALE PL, CANON CITY, CO 81212(719) 275-0700 Get Directions Write a Review

NPPES record last updated: September 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alan Donald Cac Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALAN DONALD CAC II (NPI 1033693049) is an individual addiction (substance use disorder) provider in Canon City, Colorado, licensed in Colorado (0008217) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033693049
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameALAN DONALDCredential: CAC II
Location Address602 YALE PLCanon City, CO 81212-4611
Mailing Address602 Yale PlCanon City, CO 81212-4611 · (719) 275-0700
Phone(719) 275-0700
Sole ProprietorNo
Enumeration DateSeptember 17, 2018
✔ NPI 1033693049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CO · 0008217
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0106063 (CO)
602 YALE PL, Canon City, CO 81212
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alan Donald Cac Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alan Donald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gateway To Success, PC
Same address
Mental Health (Including Community Mental Health Center)
602 YALE PL
Canon City, CO 81212
  • Reassigned Medicare billing, Colorado enrollment
  • 15 clinicians in this Medicare group
NPI 1093354680 (719) 275-2301

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. BETTY ANN KRENSON FNP
Nurse Practitioner (Family)
602 YALE PL
CANON CITY, CO 81212
Fremont County (719) 275-2301
ROBERT JOSEPH BENNETT JR. M.D.
Family Medicine
602 YALE PL
CANON CITY, CO 81212
Fremont County (719) 275-2301
GATEWAY TO SUCCESS, PC
Clinic/Center (Mental Health (Including Community Mental Health Center))
602 YALE PL
CANON CITY, CO 81212
Fremont County (719) 275-2301
DAVID W. ANDERSON
Counselor (Mental Health)
602 YALE PL
CANON CITY, CO 81212
Fremont County (719) 275-0700
GATEWAY TO SUCCESS RECOVERY CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
602 YALE PL
CANON CITY, CO 81212
Fremont County (195) 645-0707
GATEWAY TO SUCCESS, PC
Clinic/Center (Mental Health (Including Community Mental Health Center))
602 YALE PL
CANON CITY, CO 81212
Fremont County (719) 275-0700
STEPHANIE WESTBROOK
Counselor (Mental Health)
602 YALE PL
CANON CITY, CO 81212
Fremont County (719) 275-0700
GATEWAY TO SUCCESS, PC
Clinic/Center (Medical Specialty)
602 YALE PL
CANON CITY, CO 81212
Fremont County (719) 275-0700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alan Donald's NPI number?

The NPI number for Alan Donald is 1033693049. It was assigned to this individual provider in the NPPES registry on September 17, 2018.

Where is Alan Donald located?

Alan Donald practices at 602 Yale Pl, Canon City, CO 81212. The listed phone number is (719) 275-0700.

What is Alan Donald's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Alan Donald enrolled in Medicare?

Yes. Alan Donald is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alan Donald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alan Donald reassigns Medicare benefits to Gateway To Success, PC (Canon City, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alan Donald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alan Donald was last updated on September 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.