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RECOVERY VILLAGE AT PALMER LAKE, LLC
NPI 1457008526
Substance Abuse Rehabilitation Facility in Highlands Ranch, CO

Active since March 08, 2022CLIA 11D2262283 · Waiver
630 PLAZA DR, 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 20, 2026.

Record update history: May 11, 2026, May 23, 2023, Mar 8, 2022 (3 updates tracked since 2022).

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 1457008526), doing business as Denver Mental Health And Counseling By The Recovery Village, is a healthcare organization registered as a substance abuse rehabilitation facility in Highlands Ranch, Colorado and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through June 12, 2028 and lists Belina Surujon, Contracting & Licensing Director, as its authorized official.

NPPES Registry Identity

NPI1457008526
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRECOVERY VILLAGE AT PALMER LAKE, LLC
Location Address630 PLAZA DRHighlands 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 SubpartYesParent: The Recovery Village Palmer Lake
Authorized OfficialBelina SurujonContracting & Licensing Director · (754) 300-3120
Enumeration DateMarch 8, 2022
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1457008526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
630 PLAZA DR, Highlands Ranch, CO 80129
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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 11D2262283

Recovery Village Atlanta, The · Alpharetta, GA
Active · expires Jun 12, 2028
CLIA Number11D2262283
Laboratory TypeResidential Treatment Fac
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorAjibola A. Babatunde
Laboratory Phone(754) 300-3120
Laboratory LocationRecovery Village Atlanta, The11725 Pointe Place, Alpharetta, GA 30076
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 9

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

DOUGLAS MCMEANS
Behavior Technician
630 PLAZA DR
HIGHLANDS RANCH, CO 80129
Douglas County (720) 470-0578
SAMUEL WACKER
Behavior Technician
630 PLAZA DR
HIGHLANDS RANCH, CO 80129
Douglas County (720) 470-0578
SAMANTHA RAE LEASK
Behavior Technician
630 PLAZA DR
HIGHLANDS RANCH, CO 80129
Douglas County (720) 470-0578
AQUA MONIQUE MCGEE
Behavior Technician
630 PLAZA DR
HIGHLANDS RANCH, CO 80129
Douglas County (720) 470-0578
MORISSA NEGALE-SACKETT
Behavior Technician
630 PLAZA DR
HIGHLANDS RANCH, CO 80129
Douglas County (720) 470-0578
KAYDNCE TAULESE STEVENS
Behavior Technician
630 PLAZA DR
HIGHLANDS RANCH, CO 80129
Douglas County (720) 470-0578
AMELIA PATRYCJA DANIEL
Behavior Technician
630 PLAZA DR
HIGHLANDS RANCH, CO 80129
Douglas County (720) 470-0578
BENJAMIN ANDRES DEL BARCO
Behavior Technician
630 PLAZA DR
HIGHLANDS RANCH, CO 80129
Douglas County (720) 470-0578

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 1457008526. It was assigned to this organization in the NPPES registry on March 8, 2022. 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, 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 Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

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

Yes. A Certificate of Waiver (number 11D2262283) is associated with this NPI, valid through June 12, 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.