OrganizationActive
Cub Creek Therapy
NPI 1063038644 · Community/Behavioral Health Agency · Evergreen, CO
Cub Creek Therapy is a Community/Behavioral Health Agency organization in Evergreen, CO (NPI 1063038644).
Provider details
- NPI number
- 1063038644
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lisa Wainio, Bcba(508) 725-1872
Specialties & taxonomies
Agencies
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
6454 Joan Ln
Evergreen, CO 80439-7012
Phone: (508) 725-1872
Street-level locationGet directions
Mailing address
Po Box 984
Conifer, CO 80433-0984
Registry dates
- Enumerated
- 2020-06-19
- Last updated
- 2020-06-19
- Certified
- 2020-06-19
Frequently asked questions
- What is Cub Creek Therapy's NPI number?
- Cub Creek Therapy's National Provider Identifier (NPI) is 1063038644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cub Creek Therapy?
- Cub Creek Therapy is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Cub Creek Therapy located?
- Cub Creek Therapy's practice location on file with NPPES is 6454 Joan Ln, Evergreen, CO 80439-7012.
- What is Cub Creek Therapy's phone number?
- The practice phone number listed in the NPPES registry for Cub Creek Therapy is (508) 725-1872.
- Who is the authorized official for Cub Creek Therapy?
- The authorized official listed on Cub Creek Therapy's NPPES record is Lisa Wainio, Bcba. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cub Creek Therapy's NPI active?
- Yes — Cub Creek Therapy's NPI (1063038644) is active in the NPPES registry as of the last update on 2020-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.