SERENA DUCHARME (NPI# 1902358260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902358260 |
| Entity Type | Individual |
| Full Name | SERENA DUCHARME |
| Practice Address |
1302 Chinook Ln Pueblo CO 81001-1851 |
| Mailing Address |
41 Montebello Rd Suite 200 Pueblo CO 81001-1379 |
| Practice Telephone | 7195452746 |
| Mailing Telephone | 7193348084 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1302 CHINOOK LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053487876 | Vanessa Benavidez | Specialist/Technologist, Other | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2006-11-24 |
| 1194326314 | Roland Valdez | Counselor | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-11-04 |
| 1871191270 | Ariana Gallegos | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-16 |
| 1083212492 | Nia Gomez | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-16 |
| 1396343513 | Kaylene Medina | Counselor | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-09 |
| 1396342283 | Health Solutions | Clinic/Center | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-05 |
| 1922617281 | Barbara Miller | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-23 |
| 1790394062 | Jo Piano | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-23 |
| 1427667708 | Reynalda Garoutte | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-23 |
| 1245848969 | Jennifer Andrews | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-20 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1730699984 | Adult Youth @ Swanson Counseling LLC | Counselor | 803 W 4th St Ste D, Pueblo, CO 81003-2392 | 2017-10-02 |
| 1508300344 | Rosalinda Pena | Counselor | 2612 Ivywood Ln, Pueblo, CO 81004-3642 | 2016-12-13 |
| 1497112650 | Tanya Hamilton | Counselor | 3691 Parker Blvd, Suite 200, Pueblo, CO 81008-2278 | 2016-01-19 |
| 1669803946 | Dana Lambert | Counselor | 201 W 8th St Ste 403, Pueblo, CO 81003-3033 | 2013-12-11 |
| 1356615264 | Linda Litzenberger | Counselor | 24761 Hillside Rd, Pueblo, CO 81006-3023 | 2012-02-24 |
| 1245509496 | Margaret E Myers | Counselor | 25500 Hillside Rd, Pueblo, CO 81006-9787 | 2011-12-16 |
| 1285938407 | Cordelia Ruth Cameron | Counselor | 429 W. 10th St., Pueblo, CO 81003-2941 | 2011-01-03 |
| 1649570466 | Carey Lavaux | Counselor | 803 W 4th St Ste F, Pueblo, CO 81003-3177 | 2010-10-26 |
| 1679895247 | Heather D Ashurst | Counselor | 1026 Abriendo Ave, Pueblo, CO 81004 | 2010-02-23 |
| 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.