Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Network

Organization Addiction (Substance Use Disorder) Counselor · NPI 1285492942

Providence Network is an Addiction (Substance Use Disorder) Counselor in Denver, Colorado. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
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Practice location Address checks out

357 N Broadway
Denver, CO 80203-3920
Phone: (303) 860-8404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 N Logan St, Denver, CO 80203-3114 — (303) 860-8404

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Lodging Provider Taxonomy 177F00000X
Case Management Agency Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1285492942
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Kuykendall — Executive Director · (303) 860-8484
Other names The Executive Network
NPI enumeratedMarch 7, 2024
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing address357 N Broadway, Denver, CO 80203-3920

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