MICHAEL OMETER (NPI# 1609358522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609358522 |
| Entity Type | Individual |
| Full Name | MICHAEL OMETER |
| Practice Address |
41 Montebello Rd Ste Ll1 Pueblo CO 81001-1379 |
| Mailing Address |
41 Montebello Rd Ste 202 Pueblo CO 81001-1366 |
| Practice Telephone | 7195452746 |
| Practice Fax Number | 7195429638 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195429638 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
41 MONTEBELLO RD STE LL1 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750423703 | Emma Segura | Counselor | 41 Montebello Rd Ste Ll1, Pueblo, CO 81001 | 2007-02-13 |
| 1396343620 | Amber Van Acker | Registered Nurse | 41 Montebello Rd Ste Ll1, Pueblo, CO 81001-1379 | 2020-10-09 |
| 1598327058 | Erika Mcgough | Counselor | 41 Montebello Rd Ste Ll1, Pueblo, CO 81001-1379 | 2019-07-05 |
| 1225500994 | Megan Chandler | Psychologist | 41 Montebello Rd Ste Ll1, Pueblo, CO 81001-1379 | 2018-12-19 |
| 1104396944 | Brenda Kissick | Driver | 41 Montebello Rd Ste Ll1, Pueblo, CO 81001-1379 | 2018-12-04 |
| 1538639471 | Katherine Johnson | Counselor | 41 Montebello Rd Ste Ll1, Pueblo, CO 81001-1379 | 2018-12-04 |
| 1912477753 | Yvonne Serna | Counselor | 41 Montebello Rd Ste Ll1, Pueblo, CO 81001-1379 | 2018-12-04 |
| 1598230682 | Kendra Prater | Counselor | 41 Montebello Rd Ste Ll1, Pueblo, CO 81001-1379 | 2018-10-04 |
| 1649772831 | Sara Ackerman | Registered Nurse | 41 Montebello Rd Ste Ll1, Pueblo, CO 81001-1379 | 2018-03-02 |
| 1770005852 | Mary Helen Davies | Counselor | 41 Montebello Rd Ste Ll1, Pueblo, CO 81001-1379 | 2017-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467083022 | Stephanie Ortega | Counselor | 1591 Taos Rd, Pueblo, CO 81006-1232 | 2020-01-31 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1689103657 | Jordan Ami Dalton | Counselor | 41 Montebello Rd Ste 221, Pueblo, CO 81001-1366 | 2017-06-05 |
| 1720526742 | Raymond Mizer | Counselor | 4 Redondo Ln, Pueblo, CO 81005-2953 | 2017-02-09 |
| 1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
| 1417343013 | Denise O'cana | Counselor | 41 Montebello Rd Ste 204, Pueblo, CO 81001-1379 | 2015-04-09 |
| 1932524394 | Karen Khaton | Counselor | 708 Santa Clara Ave, Pueblo, CO 81005-1554 | 2014-02-21 |
| 1447590849 | Teneisha Smith | Counselor | 2109 Chautard Dr, Pueblo, CO 81005-2612 | 2013-02-21 |
| 1871833442 | Josh Aguilar | Counselor | 525 W 9th St, Pueblo, Pueblo, CO 81003-2917 | 2013-02-19 |
| 1851614960 | Danita Jo Johnson | Counselor | 7 Loch Lomond Ln, Pueblo, CO 81001-1729 | 2010-03-03 |
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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.