Active NPI
Celeste Rita Cardenas, BS CAC III
- Professional Counselor
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0005982
- Practice address
- 41 Montebello Rd
Suite LL1
Pueblo, CO 81001 - Phone
- (719) 545-2746
- Fax
- (719) 543-7104
- NPI assigned
- Jun 22, 2007
- Last updated
- Aug 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACC.0006176 | CO | |
| Professional Counselor | 101YP2500X | LPC.0005982 | CO | Primary |
Addresses
Primary practice location
41 Montebello Rd
Suite LL1
Pueblo, CO 81001
Mailing address
41 Montebello Rd Ste 202
Pueblo, CO 81001-1366
Phone (719) 545-2746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACC.0006176 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LPC.0005982 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley-Wide Health Systems, Inc. | Current | Accepting new patients | |
| Valley-Wide Health Systems, Inc | Current | Accepting new patients |
Locations
128 Market St
Alamosa, CO 81101
Phone (719) 587-1001
1012 Belmont Ave
La Junta, CO 81050
Phone (719) 383-5500
711 Barnes Ave
La Junta, CO 81050
Phone (719) 383-5408
Interoperability endpoints
- celeste.cardenas.p1@direct.vwhs.nextgenshare.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Alamosa, CO
- NPI 1790998953
-
dba Rock Creek Family Medicine
- Federally Qualified Health Center (FQHC)
- Alamosa, CO
- NPI 1205652047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1558567016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MONTEBELLO RD STE 202",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810011366",
"telephone_number": "719-545-2746",
"fax_number": "719-542-9638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MONTEBELLO RD",
"address_2": "SUITE LL1",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81001",
"telephone_number": "719-545-2746",
"fax_number": "719-543-7104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDENAS",
"first_name": "CELESTE",
"middle_name": "RITA",
"credential": "BS CAC III",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACC.0006176",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0005982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.