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NPI 1033352240 · Addiction (Substance Use Disorder) Counselor · Ignacio, CO
Provider details
- NPI number
- 1033352240
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Elaine Wasserbach, Director(970) 563-4517
- License
- 116600 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Residential Treatment Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
296 Mouache Rd.
Ignacio, CO 81137-0429
Phone: (970) 563-4555
Fax: (970) 563-4618
Approximate (ZIP-level) locationGet directions
Mailing address
296 Mouache Rd.
Ignacio, CO 81137-0429
Other names (DBA / former)
- Other name
- Peaceful Spirit Treatment Center
Registry dates
- Enumerated
- 2009-04-17
- Last updated
- 2009-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.