Individual provider Active NPI

Celeste Rita Cardenas, BS CAC III

  • Professional Counselor
  • Pueblo, CO
National Provider Identifier
1558567016
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0005982 Issued in CO
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705000880 CO Practitioner - Mental Health Counselor 0042669285 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
ACC.0006176COMDAddiction (Substance Use Disorder) Counselor
LPC.0005982COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley-Wide Health Systems, Inc. CurrentSince Jun 21, 2024 Accepting new patients
Valley-Wide Health Systems, Inc CurrentSince Jun 21, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.