Pueblo Senior Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PUEBLO SENIOR COUNSELING LLC

Practice address

503 N Main St Ste 211
Pueblo, CO 81003-3138

Phone

(425) 903-1103

NPI assigned

Mar 13, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn Spencer, MSW, LICSW, LCSW

Title

Mental Health Counselor

Phone

(425) 903-1103

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Colorado Springs Senior Counseling LLC Other name

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1366201352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 N VERMILLION CT",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810071345",
            "telephone_number": "425-903-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST STE 211",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033138",
            "telephone_number": "425-903-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO SENIOR COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "425-903-1103",
        "authorized_official_credential": "MSW, LICSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/COMMERCIAL INSURANCE",
            "identifier": "6L3403",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/COMMERCIAL INSURANCE",
            "identifier": "6L3403",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6L3403",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Springs Senior Counseling LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pueblo School District 60
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• Pueblo Womens Center

• Clinical Social Worker in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.