RICHARD RUSSELL PROVENCIAL CAS
NPI 1538790134
Counselor - Addiction (Substance Use Disorder) in Aurora, CO

Q: What is Richard Provencial's NPI number?

The NPI number for Richard Provencial is 1538790134. It was assigned to this individual provider in the NPPES registry on February 1, 2020.

Q: What is Richard Provencial's specialty?

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

Active since February 01, 2020

2993 S PEORIA ST STE G5, AURORA, CO 80014(720) 249-8862 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2024, Feb 1, 2020 (2 updates tracked since 2020).

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About Richard Russell Provencial Cas NPPES

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

RICHARD RUSSELL PROVENCIAL CAS (NPI 1538790134) is an individual addiction (substance use disorder) provider in Aurora, Colorado, licensed in Colorado (ACC.0998145) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1538790134

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameRICHARD RUSSELL PROVENCIALCredential: CAS

Location Address2993 S PEORIA ST STE G5Aurora, CO 80014-5705

Mailing Address5360 S Elati St Apt 6Littleton, CO 80120-1527 · (720) 249-8862

Phone(720) 249-8862

Sole ProprietorYes

Enumeration DateFebruary 1, 2020

Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration

NPPES CertifiedNovember 6, 2024

✔ NPI 1538790134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CO · ACC.0998145

2993 S PEORIA ST STE G5, Aurora, CO 80014

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Other Providers at the Same Location NPPES 2

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

MEDNOW CLINICS, INC

Family Medicine (Addiction Medicine)

2993 S PEORIA ST STE G5
AURORA, CO 80014

Arapahoe County (720) 878-7055

ONEMH LLC

Counselor (Addiction (Substance Use Disorder))

2993 S PEORIA ST STE G5
AURORA, CO 80014

Arapahoe County (720) 288-0450

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 Richard Provencial's NPI number?

The NPI number for Richard Provencial is 1538790134. It was assigned to this individual provider in the NPPES registry on February 1, 2020.

Where is Richard Provencial located?

Richard Provencial practices at 2993 S Peoria St Ste G5, Aurora, CO 80014. The listed phone number is (720) 249-8862.

What is Richard Provencial'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 Richard Provencial was last updated on November 6, 2024. 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.