Southern Colorado Counseling and Wellness. PLLC
NPI 1396464392ActiveOrganization· Psychologist, Clinical· Pueblo, CO
Psychologist, Clinical in Pueblo, Colorado, registered in NPPES in August 2022. The authorized official on file is Doug Jones, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396464392 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2022 |
| Last updated in NPPES | Aug 23, 2022 |
| Certified by provider | Aug 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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