Active NPI
Laura Lynn Maynes Cortez, MSW
- Counselor
- Pueblo West, CO
National Provider Identifier
1326715947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- NLC0006317
- Practice address
- 19 E Abarr Dr
Pueblo West, CO 81007-5436 - Phone
- (719) 251-3363
- NPI assigned
- Aug 23, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NLC0006317 | CO | Primary |
Addresses
Primary practice location
19 E Abarr Dr
Pueblo West, CO 81007-5436
Mailing address
1357 W Los Charros Dr
Pueblo West, CO 81007-6406
Phone (719) 251-3363
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 |
|---|---|---|---|
| NLC0006317 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1326715947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1357 W LOS CHARROS DR",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810076406",
"telephone_number": "719-251-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 E ABARR DR",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810075436",
"telephone_number": "719-251-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNES CORTEZ",
"first_name": "LAURA",
"middle_name": "LYNN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-23",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "NLC0006317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo West, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.