Rosalinda Pena

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ROSALINDA PENA

Practice address

2612 Ivywood LN
Pueblo, CO 81004-3642

Phone

(719) 778-9208

NPI assigned

Dec 13, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Rosalinda Pena

Title

Mental Health Counselor

Phone

(719) 778-9208

Specialties & licenses 1

Addresses

Other names 1

• Crystal Clear Christian Counseling Services Doing business as

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1508300344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 IVYWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043642",
            "telephone_number": "719-778-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 IVYWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043642",
            "telephone_number": "719-778-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSALINDA PENA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "ROSALINDA",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "719-778-9208",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Clear Christian Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Ropp, M.D.
• Sudheshna L Ropp, MD
• Moses Roque, COTA/L
• Beverly Rosales
• Ryana Rosales
• Rose Massage Therapy, LLC
• Amy J Rose, RN, LMT, CNMT
• Barbara R Rose, MSW, LCSW
• John Rose
• Patricia Anne Rose, M.S., CCC-SLP

• All providers in Pueblo, CO
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.