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RECOVERY VILLAGE AT PALMER LAKE, LLC
NPI 1124830245
Community Based Residential Treatment Facility, Mental Illness in Highlands Ranch, CO

Active since January 24, 2025CLIA 10D2053254 · Waiver
630 PLAZA DR STE 101, HIGHLANDS RANCH, CO 80129(754) 300-3120(888) 919-4431 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Recovery Village At Palmer Lake, Llc NPPES

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

RECOVERY VILLAGE AT PALMER LAKE, LLC (NPI 1124830245), doing business as Denver Mental Health And Counseling By The Recovery Village, is a healthcare organization registered as a community based residential treatment facility, mental illness in Highlands Ranch, Colorado and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Belina Surujon, Vp Contracting & Licensing, as its authorized official.

NPPES Registry Identity

NPI1124830245
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameRECOVERY VILLAGE AT PALMER LAKE, LLC
Location Address630 PLAZA DR STE 101Highlands Ranch, CO 80129-2379
Mailing Address2200 N Commerce Pkwy Ste 200Weston, FL 33326-3258 · (754) 300-3120 · Fax (888) 919-4431
Phone(754) 300-3120
Fax(888) 919-4431
Organization SubpartNo
Authorized OfficialBelina SurujonVp Contracting & Licensing · (305) 785-5520
Enumeration DateJanuary 24, 2025
Last NPPES UpdateMay 11, 2026
NPPES CertifiedMay 11, 2026
✔ NPI 1124830245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
630 PLAZA DR STE 101, Highlands Ranch, CO 80129
Open in Google Maps ↗

Other Names 1

Doing Business AsDenver Mental Health And Counseling By The Recovery Village

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2053254

Recovery Village At Umatilla, LLC · Umatilla, FL
Active · expires Feb 18, 2028
CLIA Number10D2053254
Laboratory TypeSud Residential Treatment
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorJennyffer Miller
Laboratory Phone(754) 300-3120
Laboratory LocationRecovery Village At Umatilla, LLC633 Umatilla Blvd, Umatilla, FL 32784
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

BRUCE LUIS SANTIAGO LMHC
Counselor
630 PLAZA DR STE 101
HIGHLANDS RANCH, CO 80129
Douglas County (720) 902-3821
COURTNEY GOUGH LCSW
Social Worker
630 PLAZA DR STE 101
HIGHLANDS RANCH, CO 80129
Douglas County (720) 577-1400

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 Recovery Village At Palmer Lake, LLC's NPI number?

The NPI number for Recovery Village At Palmer Lake, LLC is 1124830245. It was assigned to this organization in the NPPES registry on January 24, 2025. The provider is doing business as Denver Mental Health and Counseling by The Recovery Village.

Where is Recovery Village At Palmer Lake, LLC located?

Recovery Village At Palmer Lake, LLC is located at 630 Plaza Dr Ste 101, Highlands Ranch, CO 80129. The listed phone number is (754) 300-3120.

What is Recovery Village At Palmer Lake, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Recovery Village At Palmer Lake, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2053254) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Recovery Village At Palmer Lake, LLC was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.