Provider Demographics
NPI:1225629553
Name:COLORADO RECOVERY TMS, LLC
Entity Type:Organization
Organization Name:COLORADO RECOVERY TMS, LLC
Other - Org Name:COLORADO RECOVERY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:719-622-6522
Mailing Address - Street 1:1840 WOODMOOR DR STE 102
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-9083
Mailing Address - Country:US
Mailing Address - Phone:719-622-6522
Mailing Address - Fax:719-622-6520
Practice Address - Street 1:1840 WOODMOOR DR STE 102
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-9083
Practice Address - Country:US
Practice Address - Phone:719-622-6522
Practice Address - Fax:719-622-6520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion TherapyGroup - Multi-Specialty
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1184623878OtherRYAN JOHNSON MD SOLO PRACTITIONER NPI
CO1144398454OtherASHLEY JOHNSON DO SOLO PRACTITIONER NPI
CO1184623878OtherRYAN JOHNSON MD SOLO PRACTITIONER NPI