Individual provider Active NPI

Beth Ellen Arellano, LPC

  • Professional Counselor
  • Pueblo, CO
National Provider Identifier
1194568006
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0020543 Issued in CO
Practice address
725 Desert Flower Blvd
Pueblo, CO 81001-1078
Phone
(719) 553-7064
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC.0020543 CO
Mental Health Counselor 101YM0800X LPC.0020543 CO
Professional Counselor 101YP2500X LPC.0020543 CO Primary

Addresses

Primary practice location

725 Desert Flower Blvd
Pueblo, CO 81001-1078

Mailing address

2207 Antelope Way
Pueblo, CO 81005-5593
Phone (719) 553-7064

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
I20260227003897 CO Practitioner - Mental Health Counselor 9032691928 Practice locations: Pueblo, CO

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Kalisa Way
Suite 101
Paramus, NJ 07652-3508

2207 Antelope Way
Pueblo, CO 81005-5593

2701 California St
Pueblo, CO 81004-3869
Phone (888) 948-6789

855 Hunter Dr
Pueblo, CO 81001-1867
Phone (888) 948-6789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0020543COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1194568006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 ANTELOPE WAY",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810055593",
            "telephone_number": "719-553-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 DESERT FLOWER BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011078",
            "telephone_number": "719-553-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARELLANO",
        "first_name": "BETH",
        "middle_name": "ELLEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0020543",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0020543",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0020543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.