Active NPI
Inside Out Counseling PC
- Clinical Social Worker
- Pueblo West, CO
National Provider Identifier
1447475280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 991618
- Legal business name
- INSIDE OUT COUNSELING PC
- Practice address
- 44 E Spaulding Ave
Building 3, Suite 1
Pueblo West, CO 81007-1668 - Phone
- (719) 250-9569
- Fax
- (719) 547-7869
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John R Dengler, LCSW, PHD
- Title
- Psychotherapist
- Phone
- (717) 250-9569
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 991618 | CO | Primary |
Addresses
Primary practice location
44 E Spaulding Ave
Building 3, Suite 1
Pueblo West, CO 81007-1668
Mailing address
PO Box 7567
Pueblo West, CO 81007-0567
Phone (719) 250-9569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152760 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
1618 Bonforte Blvd
Ste C
Pueblo, CO 81001
Phone (719) 547-8300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486684800000",
"number": "1447475280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7567",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810070567",
"telephone_number": "719-250-9569",
"fax_number": "719-547-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 E SPAULDING AVE",
"address_2": "BUILDING 3, SUITE 1",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810071668",
"telephone_number": "719-250-9569",
"fax_number": "719-547-7869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIDE OUT COUNSELING PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2017-02-10",
"status": "A",
"authorized_official_last_name": "DENGLER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "717-250-9569",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LCSW, PHD"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "991618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152760",
"state": "CO"
}
],
"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 Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.