Individual provider Active NPI

Kendal Wellington Humes, LPC, LAC, LIAC

  • Addiction (Substance Use Disorder) Counselor
  • Pueblo, CO
National Provider Identifier
1508221276
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACD.0001478 Issued in CO
Practice address
1907 Mohawk Rd
Pueblo, CO 81001-1519
Phone
(719) 582-4362
NPI assigned
Dec 23, 2015
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001478 CO Primary
Professional Counselor 101YP2500X LPC.0014468 CO

Addresses

Primary practice location

1907 Mohawk Rd
Pueblo, CO 81001-1519

Mailing address

226 1/2 S Union Ave Unit 210
Pueblo, CO 81003-3557
Phone (719) 582-4362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OK, MS, AZ, WA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20240306000251 CO Practitioner - Mental Health Counselor 0446696058 Reassigns benefits to 5 organizations
I20241217004186 OK Practitioner - Mental Health Counselor 0446696058 Reassigns benefits to 3 organizations
I20250624000906 MS Practitioner - Mental Health Counselor 0446696058 Reassigns benefits to 3 organizations
I20250701002200 AZ Practitioner - Mental Health Counselor 0446696058 Reassigns benefits to 3 organizations
I20251010004079 WA Practitioner - Mental Health Counselor 0446696058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

1000 Highland Colony Pkwy
Suite 5203
Ridgeland, MS 39157-2079
Phone (866) 630-0966

1831 E 71St St
Tulsa, OK 74136-3922
Phone (866) 630-0966

20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (866) 630-0966

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0001478COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Mental Health CurrentSince Jun 5, 2025 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Jun 5, 2025 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Feb 23, 2024 Accepting new patients
Couch Time Counseling and Consulting Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince May 1, 2025 Accepting new patients

Locations

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

13060 W Bell Rd
Surprise, AZ 85378
Phone (623) 499-9100

1554 N Emerson St
Unit 5
Denver, CO 80218
Phone (720) 358-2862

1560 Broadway
Denver, CO 80202
Phone (623) 363-6103

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

6169 S Balsam Way
Ste 320
Littleton, CO 80123
Phone (303) 973-3668

1022 Fortino Blvd
Unit 8628
Pueblo, CO 81008

226 S Union Ave
Unit 210
Pueblo, CO 81003
Phone (719) 582-4362

180 Debuys Rd
Biloxi, MS 39531
Phone (228) 338-0220

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

1407 N Robinson Ave
Oklahoma City, OK 73103
Phone (405) 232-8000

1831 E 71st St
Tulsa, OK 74136
Phone (855) 632-6940

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

509 Olive Way
Ste 1259
Seattle, WA 98101
Phone (206) 624-5355

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1508221276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 1/2 S UNION AVE UNIT 210",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033557",
            "telephone_number": "719-582-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 MOHAWK RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011519",
            "telephone_number": "719-582-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMES",
        "first_name": "KENDAL",
        "middle_name": "WELLINGTON",
        "name_prefix": "Dr.",
        "credential": "LPC, LAC, LIAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-23",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001478",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.