STATE OF GRACE
NPI 1164775250
Community/Behavioral Health in Pueblo, CO

Q: What is State Of Grace's NPI number?

The NPI number for State Of Grace is 1164775250. It was assigned to this organization in the NPPES registry on October 26, 2012.

Q: What is State Of Grace's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for State Of Grace was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 26, 2012

720 N MAIN ST STE 330, PUEBLO, CO 81003(719) 569-7909 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2021, Oct 26, 2020, May 7, 2018 (3 updates tracked since 2018).

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About State Of Grace NPPES

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

STATE OF GRACE (NPI 1164775250) is a healthcare organization registered as a community/behavioral health in Pueblo, Colorado and active in the NPI registry since October 2012. The organization maintains a secondary practice location in Pueblo and lists Robert Richard Maes, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1164775250

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSTATE OF GRACE

Location Address720 N MAIN ST STE 330Pueblo, CO 81003-3047

Mailing Address720 N Main St Ste 330Pueblo, CO 81003-3047 · (719) 569-7909

Phone(719) 569-7909

Organization SubpartNo

Authorized OfficialRobert Richard MaesClinical Director · (719) 240-1799

Enumeration DateOctober 26, 2012

Last NPPES UpdateApril 15, 20213 updates tracked since enumeration

NPPES CertifiedApril 15, 2021

✔ NPI 1164775250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in CO · 1727-01

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

720 N MAIN ST STE 330, Pueblo, CO 81003

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Secondary Practice Location 1

Location 1201 W 8th St Ste 403Pueblo, CO 81003-3033 · Phone (719) 582-5575

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.

COURTNEY BANKO PALMER

Counselor (Addiction (Substance Use Disorder))