Individual provider Active NPI

Leo Paul Arguello, CAC III #7025

  • Addiction (Substance Use Disorder) Counselor
  • Pueblo, CO
National Provider Identifier
1083918247
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
7025 Issued in CO
Practice address
1711 East Evans Avenue
CTP, M-Irt
Pueblo, CO 81004
Phone
(719) 566-0234
Fax
(719) 564-7212
NPI assigned
Jan 3, 2011
Last updated
Jan 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 7025 CO Primary

Addresses

Primary practice location

1711 East Evans Avenue
CTP, M-Irt
Pueblo, CO 81004

Mailing address

4 Montebello Road
Crossroads' Turning Points, Inc
Pueblo, CO 81001
Phone (719) 546-6667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7025COMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1083918247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MONTEBELLO ROAD",
            "address_2": "CROSSROADS' TURNING POINTS, INC",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81001",
            "telephone_number": "719-546-6667",
            "fax_number": "719-546-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 EAST EVANS AVENUE",
            "address_2": "CTP, M-IRT",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81004",
            "telephone_number": "719-566-0234",
            "fax_number": "719-564-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARGUELLO",
        "first_name": "LEO",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "CAC III #7025",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "7025",
            "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 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.