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JAYWALKER LODGE, LLC
NPI 1750657482
Substance Abuse Rehabilitation Facility in Carbondale, CO

Active since March 27, 2012
811 MAIN CT, CARBONDALE, CO 81623(970) 704-9292 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2025, Jul 13, 2023, Dec 11, 2020 and 3 more (6 updates tracked since 2018).

About Jaywalker Lodge, Llc NPPES

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

JAYWALKER LODGE, LLC (NPI 1750657482) is a healthcare organization registered as a substance abuse rehabilitation facility in Carbondale, Colorado and active in the NPI registry since March 2012. The organization maintains a secondary practice location in Carbondale and lists Lauri A Winslow, Director Of Insurance, as its authorized official.

NPPES Registry Identity

NPI1750657482
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameJAYWALKER LODGE, LLC
Location Address811 MAIN CTCarbondale, CO 81623-1851
Mailing AddressPo Box 969Carbondale, CO 81623-0969 · (970) 704-9292
Phone(970) 704-9292
Organization SubpartNo
Authorized OfficialLauri A WinslowDirector Of Insurance · (970) 704-9292
Enumeration DateMarch 27, 2012
Last NPPES UpdateMarch 10, 20256 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1750657482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CO · 1548-01
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.
811 MAIN CT, Carbondale, CO 81623
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Secondary Practice Location 1

Location 135 N 7th StCarbondale, CO 81623-1901 · Phone (970) 704-9292

Other Providers at the Same Location NPPES 7

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

BRENDON MICHAEL KERTON M.A., LPC, LAC
Counselor (Mental Health)
811 MAIN CT
CARBONDALE, CO 81623
Garfield County (970) 704-9292
ALICE HASTINGS JOHNSON LCSW
Social Worker (Clinical)
811 MAIN CT
CARBONDALE, CO 81623
Garfield County (713) 302-0443
JOSEPH WALTER HERMES MA LAC
Counselor (Addiction (Substance Use Disorder))
811 MAIN CT
CARBONDALE, CO 81623
Garfield County (651) 303-1013
ALEXANDER PALACHE GUTTERMAN LPCC
Counselor (Mental Health)
811 MAIN CT
CARBONDALE, CO 81623
Garfield County (218) 349-9610
RODNEY CRAIG LAUF LPCC; CACI
Counselor (Addiction (Substance Use Disorder))
811 MAIN CT
CARBONDALE, CO 81623
Garfield County (970) 486-1440
HENRY GARRETT MAXWELL CAC II
Counselor (Addiction (Substance Use Disorder))
811 MAIN CT
CARBONDALE, CO 81623
Garfield County (970) 704-9292
HENRY HANRAHAN LAC
Counselor (Addiction (Substance Use Disorder))
811 MAIN CT
CARBONDALE, CO 81623
Garfield County (970) 704-9292

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 Jaywalker Lodge, LLC's NPI number?

The NPI number for Jaywalker Lodge, LLC is 1750657482. It was assigned to this organization in the NPPES registry on March 27, 2012.

Where is Jaywalker Lodge, LLC located?

Jaywalker Lodge, LLC is located at 811 Main Ct, Carbondale, CO 81623. The listed phone number is (970) 704-9292.

What is Jaywalker Lodge, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Jaywalker Lodge, LLC was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.