Individual provider Active NPI

Wallace Pond, PHD

  • Mental Health Counselor
  • Gunnison, CO
National Provider Identifier
1154031664
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
710 N Taylor St
Gunnison, CO 81230-2244
Phone
(970) 252-3200
Fax
(970) 259-2438
NPI assigned
Nov 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

710 N Taylor St
Gunnison, CO 81230-2244

Mailing address

PO Box 1328
Durango, CO 81302-1328
Phone (970) 335-2342

Other practice location 1

5390 N Academy Blvd Ste 330
Colorado Springs, CO 80918-4176
Phone (719) 344-8195

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024000815 CO Practitioner - Mental Health Counselor 4082102637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Colorado Mental Health Center IncGroup PAC ID 9133011802, 67 clinicians

Practice addresses (Care Compare)

710 N Taylor St
Gunnison, CO 81230-2244
Phone (970) 252-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Colorado Mental Health Center, Inc CurrentSince Sep 1, 2025 Accepting new patients
Southwest Colorado Mental Health Center Inc CurrentSince Sep 1, 2025 Accepting new patients
Southwest Colorado Mental Health Center, Inc Current Accepting new patients

Locations

495 W 4th St
Dove Creek, CO 81324
Phone (970) 677-2291

150 Mercury Village Dr
Durango, CO 81301
Phone (970) 335-2342

1970 E 3rd Ave
Ste 1
Durango, CO 81301
Phone (970) 335-2288

710 N Taylor St
Gunnison, CO 81230
Phone (970) 641-0229

Interoperability endpoints

  • Direct secure messaging: wallace.pond.p1@direct.ahs.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1154031664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813021328",
            "telephone_number": "970-335-2342",
            "fax_number": "970-335-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N TAYLOR ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302244",
            "telephone_number": "970-252-3200",
            "fax_number": "970-259-2438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5390 N Academy Blvd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809184176",
            "country_code": "US",
            "telephone_number": "719-344-8195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POND",
        "first_name": "WALLACE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-25",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

Verify at the official NPI Registry.