A NEW LEAF THERAPY, PLLC (NPI# 1194111500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194111500 |
Entity Type | Organization |
Organization Name | A NEW LEAF THERAPY, PLLC |
Practice Address |
327 Colorado Ave Pueblo CO 81004 |
Mailing Address |
6192 Muddy Creek Rd Pueblo CO 81004-9747 |
Practice Telephone | 7199487120 |
Practice Fax Number | 7192897144 |
Mailing Telephone | 7199487120 |
Enumeration Date | 2015-04-13 |
Last Update Date | 2018-07-18 |
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 | 251S00000X | Community/Behavioral Health | 6858 | CO | Agencies |
Y | 251S00000X | Community/Behavioral Health | 1759 | CO | Agencies |
Address | Telephone Number | Fax Number |
---|---|---|
315 Colorado Ave, Pueblo, CO 810042046 | 7199487120 |
Street Address |
327 COLORADO AVE |
City | PUEBLO |
State | CO |
Zip Code | 81004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912484965 | Levi Thomas Middleton | Counselor | 327 Colorado Ave, Pueblo, CO 81004-2005 | 2018-07-23 |
1891286449 | Melanie Doreen Hoffman | Psychologist | 327 Colorado Ave, Pueblo, CO 81004-2005 | 2018-05-18 |
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 |
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 |
1518206531 | Christopher Dean Trujillo | Nurse Practitioner | 111 W Evans Ave, Pueblo, CO 81004 | 2013-02-11 |
Find all providers in zip 81004 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578199576 | Friendly Harbor | Community/Behavioral Health | 2713 N Grand Ave, Pueblo, CO 81003-2453 | 2020-03-21 |
1023669660 | Daybreak Consultants, P.C. | Community/Behavioral Health | 319 W Hahns Peak Ave, Pueblo, CO 81007-2805 | 2019-09-25 |
1164989745 | Steel City Behavioral Health, LLC | Community/Behavioral Health | 3606 Morris Ave Ste 111, Pueblo, CO 81008-1369 | 2019-03-01 |
1013431287 | Hope Thru Hooves | Community/Behavioral Health | 25550 Hillside Rd, Pueblo, CO 81006-9787 | 2017-07-31 |
1457706483 | Pueblo Diversified Industries, Inc. | Community/Behavioral Health | 2828 Granada Blvd, Pueblo, CO 81005-3104 | 2016-04-27 |
1801297478 | Teresa Koppin | Community/Behavioral Health | 421 N Main St Ste 301, Pueblo, CO 81003-3187 | 2014-09-15 |
1164775250 | State of Grace | Community/Behavioral Health | 720 N Main St Ste 330, Pueblo, CO 81003-3047 | 2012-10-26 |
1669761755 | Oasis Counseling | Community/Behavioral Health | 717 W 29th St, Pueblo, CO 81008-1176 | 2011-03-30 |
1962647685 | Bridge To Awareness Counseling Center | Community/Behavioral Health | 310 W C St, Pueblo, CO 81003-3409 | 2008-12-09 |
1932303195 | Spanish Peaks Mental Health Center | Community/Behavioral Health | 2322 Longhorn Dr, Pueblo, CO 81008-2840 | 2007-06-12 |
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.