Gina Marie Raigoza, MBA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

4 Avis Ave
Pueblo, CO 81005-3102

Phone

(719) 256-0127

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gina Marie Meek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

Practice roles

Locations

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.

• Impact Counseling Consulting LLC

  • Community/Behavioral Health Agency
  • Pueblo, CO
  • NPI 1366151730
  NPD

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1396484309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 N LECANTO HWY STE D",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653569",
            "telephone_number": "719-256-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 AVIS AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053102",
            "telephone_number": "719-256-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIGOZA",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "MEEK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Radiology Associates
• Paul Raymond Radway, M.D.
• Alexis Marie Rael
• Gregory Ragulsky
• Ronald James Ragulsky, D.D.S.,L.L.C
• Somasundaram Rajendran, M.D.
• Jigisha Hareshbhai Rakholiya, MD
• Peter Raleigh
• Ana Maria Ramirez Berlioz, M.D.
• Perla Ramirez-Groothuis, MS, LAC

• Counselor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.