Active NPI
Rebecca Van Pelt, MS
- Professional Counselor
- Pueblo, CO
National Provider Identifier
1063041952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0020189
- Practice address
- 1012 W Abriendo Ave
Pueblo, CO 81004-1128 - Phone
- (719) 545-2746
- NPI assigned
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | LPC.0020189 | CO | Primary |
Addresses
Primary practice location
1012 W Abriendo Ave
Pueblo, CO 81004-1128
Mailing address
41 Montebello Rd Ste 204
Pueblo, CO 81001-1379
Phone (719) 545-2746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0020189 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Vista Community Health Centers | Current | Accepting new patients | |
| Life Works Counseling | Current | Accepting new patients | |
| Savio House, Inc. | Professional | Current | Accepting new patients |
| Peak Vista Community Health Centers | Current | Accepting new patients |
Locations
4041 E San Miguel St
Colorado Springs, CO 80909
Phone (719) 344-7846
325 King St
Denver, CO 80219
Phone (303) 225-4100
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1730166034
-
dba Behavioral Health at Inside Out Youth Services
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1871347443
-
- Marriage & Family Therapist
- Bloomingdale, GA
- NPI 1831482678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1063041952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MONTEBELLO RD STE 204",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810011379",
"telephone_number": "719-545-2746",
"fax_number": "719-545-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 W ABRIENDO AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810041128",
"telephone_number": "719-545-2746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN PELT",
"first_name": "REBECCA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0020189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.