A NEW LEAF THERAPY, LLC (NPI# 1063868263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063868263 |
| Entity Type | Organization |
| Organization Name | A NEW LEAF THERAPY, LLC |
| Practice Address |
315 Colorado Ave Pueblo CO 81004-2046 |
| Practice Telephone | 7199487120 |
| Practice Fax Number | 7192897144 |
| Mailing Telephone | 7199487120 |
| Mailing Fax Number | 7192897144 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |
| Authorized Official Name | REGAN YOUNG (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Telephone | 7199487120 |
| Authorized Official Credential | LCSW, CACIII |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
PSY3290 | CO | Ambulatory Health Care Facilities |
| Y | 103T00000X | Psychologist | PSY3290 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831636364 | A New Leaf Therapy, LLC | Social Worker | 2911 Olney Sandy Spring Rd Ste A, Olney, MD 20832-3506 | 2017-01-23 |
| Street Address |
315 COLORADO AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194966655 | Janis M. Proal | Massage Therapist | 315 Colorado Ave, Pueblo, CO 81004-2046 | 2009-03-13 |
| 1710436910 | Megan Marks | Psychologist | 315 Colorado Ave, Pueblo, CO 81004-2046 | 2016-09-28 |
| 1063888766 | Therapy Works | Counselor | 315 Colorado Ave, Pueblo, CO 81004-2046 | 2015-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649610684 | Michelle Eddy | Psychologist | 439 N Desert Cove Dr, Pueblo, CO 81007-2194 | 2013-07-03 |
| 1386861516 | Steel City Consultants | Psychologist | 803 W 4th Street, Suite U and F, Pueblo, CO 81003 | 2007-04-19 |
| 1376601344 | Frank Allen Patton | Psychologist | 1601 Constitution Rd, Pueblo, CO 81001-2132 | 2006-12-04 |
| 1841304185 | Carlos Jose Rodriguez | Psychologist | 1301 W 17th Street, Pueblo, CO 81003-1915 | 2006-08-17 |
| 1588691067 | Barry L Quinn | Psychologist | 719 W 18th St, #202, Pueblo, CO 81003-2114 | 2006-06-28 |
| 1891778585 | Joseph Edward Peters | Psychologist | 92 Amherst Ave, Pueblo, CO 81005-1627 | 2005-11-28 |
| 1043292907 | Salvador Cruz | Psychologist | 128 S-union, Suite C, Pueblo, CO 81003 | 2005-11-16 |
| 1225500994 | Megan Chandler | Psychologist | 41 Montebello Rd Ste Ll1, Pueblo, CO 81001-1379 | 2018-12-19 |
| 1891286449 | Melanie Doreen Hoffman | Psychologist | 327 Colorado Ave, Pueblo, CO 81004-2005 | 2018-05-18 |
| 1336651884 | Susan Oehler | Psychologist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2017-10-24 |
| Find all providers in PUEBLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.