Project Pueblo

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CSW 1809 Issued in CO

Legal business name

PROJECT PUEBLO

Practice address

117 Fairway VLG
Pueblo West, CO 81007-3621

Phone

(303) 908-8623

NPI assigned

Sep 26, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Earl R Poteet, LCSWNPI 1386943280

Title

President

Phone

(303) 908-8623

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Earl Ross Poteet, LCSW

  • Clinical Social Worker
  • Pueblo West, CO
  • NPI 1386943280
  NPD (past) Authorized official

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1245513399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 FAIRWAY VLG",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810073621",
            "telephone_number": "303-908-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 FAIRWAY VLG",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810073621",
            "telephone_number": "303-908-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT PUEBLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "POTEET",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-908-8623",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "CSW 1809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Powell
• Preservehealth (Preserve Mental Health)
• Preservehealth
• Megan Prewitt-Petty
• Professional Hearing Solutions, Inc
• Pueblo Ankle and Foot Care, PLLC
• Pueblo Regional Center
• Pueblo West Assisted Living, LLC (Legacy Commons at Pueblo West)
• Pueblo West Chiropractic Center Inc.
• Pueblo West Chiropractic Health Solutions Inc.

• Community/Behavioral Health Agency in Pueblo West, CO
• Providers in Pueblo West, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.