Active NPI
Catherine J Iliff
- Professional Counselor
- Pueblo, CO
National Provider Identifier
1255522843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6235
- Practice address
- 1401 N Elizabeth St
Ste B
Pueblo, CO 81003-2158 - Phone
- (720) 884-7830
- NPI assigned
- Aug 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | CO | ||
| Professional Counselor | 101YP2500X | 6235 | CO | Primary |
Addresses
Primary practice location
1401 N Elizabeth St
Ste B
Pueblo, CO 81003-2158
Mailing address
1343 E 13TH St
Pueblo, CO 81001-3115
Phone (719) 225-8584
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6235 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1255522843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1343 E 13TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810013115",
"telephone_number": "719-225-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 N ELIZABETH ST",
"address_2": "STE B",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032158",
"telephone_number": "720-884-7830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILIFF",
"first_name": "CATHERINE",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "6235",
"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 Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.