PROVIDENCE NETWORK
NPI 1972362788
Counselor - Addiction (Substance Use Disorder) in Denver, CO

Active since March 14, 2024
2330 N WASHINGTON ST, DENVER, CO 80205(303) 744-3986 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Network NPPES

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

PROVIDENCE NETWORK (NPI 1972362788), doing business as The Executive Network, is a healthcare organization registered as an addiction (substance use disorder) in Denver, Colorado and active in the NPI registry since March 2024. The organization lists Derek Kuykendall, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1972362788
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NamePROVIDENCE NETWORK
Location Address2330 N WASHINGTON STDenver, CO 80205-3266
Mailing Address801 N Logan StDenver, CO 80203-3114 · (303) 744-3986
Organization SubpartNo
Authorized OfficialDerek KuykendallExecutive Director · (303) 860-8484
Enumeration DateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
NPI 1972362788 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
2330 N WASHINGTON ST, Denver, CO 80205

Other Names 1

Former Legal Business NameThe Executive Network

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Providence Network's NPI number?

The NPI number for Providence Network is 1972362788. It was assigned to this organization in the NPPES registry on March 14, 2024. The provider was formerly known as The Executive Network.

Where is Providence Network located?

Providence Network is located at 2330 N Washington St, Denver, CO 80205. The listed phone number is (303) 744-3986.

What is Providence Network'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 Providence Network was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.