GATEWAY TO SUCCESS RECOVERY CENTER
NPI 1427934777
Clinic/Center - Mental Health (Including Community Mental Health Center) in Canon City, CO

Active since August 13, 2025
602 YALE PL, CANON CITY, CO 81212(195) 645-0707(719) 896-2874 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About GATEWAY TO SUCCESS RECOVERY CENTER

This page provides the complete NPI Profile along with additional information for Gateway To Success Recovery Center, a provider established in Canon City, Colorado operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1427934777 assigned on August 2025. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. Gateway To Success Recovery Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Brittany Kelly (Director Of Finance And Hr)

NPI
1427934777 Verify this NPI
Provider Name
GATEWAY TO SUCCESS RECOVERY CENTER
Entity Type
Organization
Location Address
602 YALE PL CANON CITY, CO 81212
Location Phone
(195) 645-0707
Location Fax
(719) 896-2874
Mailing Address
PO BOX 7271 WOODLAND PARK, CO 80863
Mailing Phone
(719) 564-5070
Mailing Fax
(719) 896-2874
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-13-2025
Last Update Date
08-13-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRITTANY KELLY

Authorized Official Title
DIRECTOR OF FINANCE AND HR
Authorized Official Phone
(719) 564-5070

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Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Family Medicine
602 YALE PL
CANON CITY, CO 81212
Nurse Practitioner (Family)
602 YALE PL
CANON CITY, CO 81212
Nurse Practitioner (Family)
602 YALE PL
CANON CITY, CO 81212
Counselor (Addiction (Substance Use Disorder))
602 YALE PL
CANON CITY, CO 81212
Counselor (Mental Health)
602 YALE PL
CANON CITY, CO 81212
Clinic/Center (Medical Specialty)
602 YALE PL
CANON CITY, CO 81212
Clinic/Center (Mental Health (Including Community Mental Health Center))
602 YALE PL
CANON CITY, CO 81212
Counselor (Mental Health)
602 YALE PL
CANON CITY, CO 81212
Clinic/Center (Mental Health (Including Community Mental Health Center))
602 YALE PL
CANON CITY, CO 81212
Counselor (Mental Health)
602 YALE PL
CANON CITY, CO 81212
Non-emergency Medical Transport (VAN)
602 YALE PL
CANON CITY, CO 81212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427934777, enumerated as an "organization" on August 13, 2025.

The provider is located at 602 YALE PL CANON CITY, CO 81212 and the phone number is (195) 645-0707.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).