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PROVIDENCE NETWORK
NPI 1285492942
Counselor - Addiction (Substance Use Disorder) in Denver, CO

Active since March 07, 2024
357 N BROADWAY, DENVER, CO 80203(303) 860-8404 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Network NPPES

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

PROVIDENCE NETWORK (NPI 1285492942), doing business as The Executive Network, is a healthcare organization registered as an addiction (substance use disorder) in Denver, Colorado and active in the NPI registry since March 2024. The organization maintains a secondary practice location in Denver and lists Derek Kuykendall, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1285492942
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NamePROVIDENCE NETWORK
Location Address357 N BROADWAYDenver, CO 80203-3920
Mailing Address357 N BroadwayDenver, CO 80203-3920 · (303) 860-8404
Phone(303) 860-8404
Organization SubpartNo
Authorized OfficialDerek KuykendallExecutive Director · (303) 860-8484
Enumeration DateMarch 7, 2024
NPPES CertifiedMarch 7, 2024
✔ NPI 1285492942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedLodgingTaxonomy 177F00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
357 N BROADWAY, Denver, CO 80203
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Other Names 1

Former Legal Business NameThe Executive Network

Secondary Practice Location 1

Location 1801 N Logan StDenver, CO 80203-3114 · Phone (303) 860-8404

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DANA MICHELLE JONES
Case Manager/Care Coordinator
357 N BROADWAY
DENVER, CO 80203
Denver County (303) 860-8404

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 Providence Network's NPI number?

The NPI number for Providence Network is 1285492942. It was assigned to this organization in the NPPES registry on March 7, 2024. The provider was formerly known as The Executive Network.

Where is Providence Network located?

Providence Network is located at 357 N Broadway, Denver, CO 80203. The listed phone number is (303) 860-8404.

What is Providence Network's specialty?

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

When was this NPI record last updated?

The NPPES record for Providence Network was last updated on March 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.