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JAYWALKER LODGE INC
NPI 1972901080
Clinic/Center - Rehabilitation, Substance Use Disorder in Carbondale, CO

Active since December 05, 2014
725 MAIN ST, CARBONDALE, CO 81623(970) 704-9292 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2020, Oct 2, 2018, May 22, 2018 (3 updates tracked since 2018).

About Jaywalker Lodge Inc NPPES

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

JAYWALKER LODGE INC (NPI 1972901080) is a healthcare organization registered as a rehabilitation, substance use disorder in Carbondale, Colorado and active in the NPI registry since December 2014. The organization maintains a secondary practice location in Carbondale and lists Lauri Winslow, Director Of Insurance, as its authorized official.

NPPES Registry Identity

NPI1972901080
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameJAYWALKER LODGE INC
Location Address725 MAIN STCarbondale, CO 81623
Mailing AddressPo Box 969Carbondale, CO 81623-0969 · (970) 704-9292
Phone(970) 704-9292
Organization SubpartNo
Authorized OfficialLauri WinslowDirector Of Insurance · (970) 704-9292
Enumeration DateDecember 5, 2014
Last NPPES UpdateJune 26, 20203 updates tracked since enumeration
NPPES CertifiedJune 26, 2020
✔ NPI 1972901080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
725 MAIN ST, Carbondale, CO 81623
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Secondary Practice Location 1

Location 1811 Main CtCarbondale, CO 81623-1851 · Phone (970) 704-9292

Other Providers at the Same Location NPPES 4

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

PATRICK WHITING YOUNG MA, CAC-II
Counselor (Addiction (Substance Use Disorder))
725 MAIN ST
CARBONDALE, CO 81623
Garfield County (970) 704-9292
ROBERT BELL MA, LPC
Counselor (Addiction (Substance Use Disorder))
725 MAIN ST
CARBONDALE, CO 81623
Garfield County (970) 704-9292
JOHN PATRICK FULLAM LPC
Counselor (Mental Health)
725 MAIN ST
CARBONDALE, CO 81623
Garfield County (973) 714-3036
TODD EVAN HERRMANN CAT
Counselor (Addiction (Substance Use Disorder))
725 MAIN ST
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 Inc's NPI number?

The NPI number for Jaywalker Lodge Inc is 1972901080. It was assigned to this organization in the NPPES registry on December 5, 2014.

Where is Jaywalker Lodge Inc located?

Jaywalker Lodge Inc is located at 725 Main St, Carbondale, CO 81623. The listed phone number is (970) 704-9292.

What is Jaywalker Lodge Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Jaywalker Lodge Inc was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.