Active NPI
Melissa Ayala
- Professional Counselor
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0015476
- Practice address
- 1302 Chinook LN
Pueblo, CO 81001-1851 - Phone
- (719) 545-2746
- Fax
- (719) 423-1882
- NPI assigned
- Jul 11, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | LPC.0015476 | CO | Primary |
Addresses
Primary practice location
1302 Chinook LN
Pueblo, CO 81001-1851
Mailing address
41 Montebello Rd
Suite 200
Pueblo, CO 81001-1379
Phone (719) 545-2746
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0015476 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Solutions | Current | Accepting new patients | |
| Health Solutions | Current | Accepting new patients | |
| Health Solutions | Current | Accepting new patients | |
| Spanish Peaks New Alternatives, Inc. | Past | Accepting new patients | |
| Health Solutions | Past | Accepting new patients | |
| Health Solutions | Past | Accepting new patients |
Locations
41 Montebello Rd
Lowr LL1
Pueblo, CO 81001
41 Montebello Rd
Ste 202
Pueblo, CO 81001
Phone (719) 423-1341
1304 Chinook Ln
Pueblo, CO 81001
Phone (719) 562-3222
1012 W Abriendo Ave
Pueblo, CO 81004
Phone (719) 583-2207
41 Montebello Rd
Ste 100
Pueblo, CO 81001
2003 E 4th St
Pueblo, CO 81001
Phone (719) 544-6373
1302 Chinook Ln
Pueblo, CO 81001
1310 Chinook Ln
Pueblo, CO 81001
41 Montebello Rd
Ste 204
Pueblo, CO 81001
Phone (719) 423-1341
41 Montebello Rd
Ste 200
Pueblo, CO 81001
Phone (719) 545-1575
41 Montebello Rd
Ste 116
Pueblo, CO 81001
Phone (719) 423-1500
910 E Main St
Trinidad, CO 81082
Phone (719) 631-3370
417 S Indiana Ave
Trinidad, CO 81082
Phone (719) 846-4416
926 Russell Ave
Walsenburg, CO 81089
Phone (719) 738-2386
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pueblo, CO
- NPI 1033165527
-
- Respite Care
- Pueblo, CO
- NPI 1184475121
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pueblo, CO
- NPI 1952908840
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pueblo, CO
- NPI 1558112599
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pueblo, CO
- NPI 1972354132
-
- Primary Care Clinic/Center
- Pueblo, CO
- NPI 1508250911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1285086512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MONTEBELLO RD",
"address_2": "SUITE 200",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810011379",
"telephone_number": "719-545-2746",
"fax_number": "719-542-9638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 CHINOOK LN",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810011851",
"telephone_number": "719-545-2746",
"fax_number": "719-423-1882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYALA",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0015476",
"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 Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.