Organization Active NPI

Inside Out Counseling PC

  • Clinical Social Worker
  • Pueblo West, CO
National Provider Identifier
1447475280
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
991618 Issued in CO
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

Updated by the provider on Feb 10, 2017

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
152760MedicaidCO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.