STOUT STREET CLINIC
NPI 1396793030
Clinic/Center - Federally Qualified Health Center (FQHC) in Denver, CO

Active since May 05, 2006
2130 STOUT ST, DENVER, CO 80205(303) 293-2220(303) 293-6966 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2025, Jul 9, 2021, Aug 11, 2020 (3 updates tracked since 2020).

About Stout Street Clinic NPPES

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

STOUT STREET CLINIC (NPI 1396793030) is a healthcare organization registered as a federally qualified health center (fqhc) in Denver, Colorado and active in the NPI registry since May 2006. The organization lists Pete J Stoller, Cfo, as its authorized official.

NPPES Registry Identity

NPI1396793030
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOLORADO COALITION FOR THE HOMELESS
Location Address2130 STOUT STDenver, CO 80205-2827
Mailing Address2111 Champa StDenver, CO 80205-2529 · (303) 293-2217 · Fax (303) 293-2309
Fax(303) 293-6966
Organization SubpartNo
Authorized OfficialPete J StollerCfo · (303) 312-9606
Enumeration DateMay 5, 2006
Last NPPES UpdateJanuary 2, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1396793030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/CenterTaxonomy 261Q00000X · License 1042 (CO)
2130 STOUT ST, Denver, CO 80205

Other Names 1

Doing Business AsStout Street Clinic

Other Identifiers 1

Medicaid05638390CO

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stout Street Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Stout Street Clinic, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 17 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Clinical Social Worker8
Mental Health Counselor3
Nurse Practitioner2
Optometry2
General Practice1
Marriage and Family Therapist1
Psychiatry1

Clinicians, nearest first (18)

Mental Health Counselor
NPI 1912749110
2130 STOUT ST
Denver, CO 80205
(303) 293-2220
✔ PECOSSame address
Mental Health Counselor
NPI 1417684028
2130 STOUT ST
Denver, CO 80205
(303) 293-2220
✔ PECOSSame address
General Practice
NPI 1861743379
2130 STOUT ST
Denver, CO 80205
(303) 293-2220
✔ PECOSSame address
Clinical Social Worker
NPI 1790417491
2130 STOUT ST
Denver, CO 80205
(303) 293-2220
✔ PECOSSame address
Marriage and Family Therapist
NPI 1013435791
2130 STOUT ST
Denver, CO 80205
(303) 293-2220
✔ PECOSSame address
Nurse Practitioner
NPI 1639545312
2130 STOUT ST
Denver, CO 80205
(303) 312-9800
✔ PECOSSame address
Psychiatry
NPI 1033641709
2130 STOUT ST
Denver, CO 80205
(303) 293-2220
✔ PECOSSame address
Clinical Social Worker
NPI 1548732209
2130 STOUT ST
Denver, CO 80205
(303) 293-2220
✔ PECOSSame address
Clinical Social Worker
NPI 1811579360
2130 STOUT ST
Denver, CO 80205
(303) 293-2217
✔ PECOSSame address
Clinical Social Worker
NPI 1366138554
2130 STOUT ST
Denver, CO 80205
(303) 293-2220
✔ PECOSSame address
Nurse Practitioner
NPI 1871730093
2130 STOUT ST
Denver, CO 80205
(303) 293-2220
✔ PECOSSame address
Clinical Social Worker
NPI 1831860782
2130 STOUT ST
Denver, CO 80205
(303) 293-2220
✔ PECOSSame address
Mental Health Counselor
NPI 1861715500
2100 N BROADWAY
Denver, CO 80205
(303) 297-4069
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1265804850
2100 N BROADWAY
Denver, CO 80205
(303) 312-9675
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1245884287
2111 CHAMPA ST
Denver, CO 80205
(303) 293-2220
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1033622014
4851 INDEPENDENCE ST STE 100
Wheat Ridge, CO 80033
(303) 432-5181
✔ Accepts Medicare6.8 mi
Optometry
NPI 1043716269
3535 RIVER POINT PKWY
Sheridan, CO 80110
(303) 482-1300
✔ PECOS✔ Accepts Medicare7.0 mi
Optometry
NPI 1760052559
6545 GUNPARK DR STE 250
Boulder, CO 80301
(303) 530-1973
✔ PECOS✔ Accepts Medicare25 mi

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

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 Colorado Coalition For The Homeless's NPI number?

The NPI number for Colorado Coalition For The Homeless is 1396793030. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Stout Street Clinic.

Where is Colorado Coalition For The Homeless located?

Colorado Coalition For The Homeless is located at 2130 Stout St, Denver, CO 80205. The listed phone number is (303) 293-2220.

What is Colorado Coalition For The Homeless's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Colorado Coalition For The Homeless enrolled in Medicare?

Yes. Colorado Coalition For The Homeless is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colorado Coalition For The Homeless?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 7 Medicare specialties reassign their Medicare billing to Colorado Coalition For The Homeless. A 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 the clinician's services. The largest specialties are Clinical Social Worker (8), Mental Health Counselor (3) and Nurse Practitioner (2). Of these, 12 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Colorado Coalition For The Homeless was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.