Individual provider Active NPI

Taletha Senecal, LSW, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Canon City, CO
National Provider Identifier
1265901821
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACD.0002859 Issued in CO
Practice address
3239 Independence Rd
Canon City, CO 81212-9380
Phone
(719) 275-7650
NPI assigned
Nov 13, 2018
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0002859 CO Primary
Social Worker 104100000X LSW.0009925803 CO

Addresses

Primary practice location

3239 Independence Rd
Canon City, CO 81212-9380

Mailing address

3239 Independence Rd
Canon City, CO 81212-9380

Other practice location 1

685 Citadel Dr E Ste 125
Colorado Springs, CO 80909-5316
Phone (719) 275-7650

Other practice location 2

1250 Short St
Canon City, CO 81212-4462
Phone (719) 315-0590

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1250 Short St
Canon City, CO 81212-4462

3239 Independence Rd
Canon City, CO 81212-9380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0002859COMDAddiction (Substance Use Disorder) Counselor
LSW.0009925803COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jet Recovery Behavioral Health LLC Addiction (Substance Use Disorder) CurrentSince Nov 9, 2025 Accepting new patients
Jet Recovery LLC Addiction (Substance Use Disorder) CurrentSince Oct 21, 2025 Accepting new patients
Rocky Mountain Behavioral Health, Inc. Addiction (Substance Use Disorder) Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1265901821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3239 INDEPENDENCE RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3239 INDEPENDENCE RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129380",
            "telephone_number": "719-275-7650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "685 Citadel Dr E Ste 125",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095316",
            "country_code": "US",
            "telephone_number": "719-275-7650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Short St",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812124462",
            "country_code": "US",
            "telephone_number": "719-315-0590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENECAL",
        "first_name": "TALETHA",
        "credential": "LSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0002859",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009925803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.