Active NPI
Alfonso Manuel Silva, BA CAC I
- Addiction (Substance Use Disorder) Counselor
- Pueblo, CO
National Provider Identifier
1598973166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6237
- Practice address
- 509 E 13TH St
Pueblo, CO 81001-2940 - Phone
- (719) 546-6666
- Fax
- (719) 543-7764
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6237 | CO | Primary |
Addresses
Primary practice location
509 E 13TH St
Pueblo, CO 81001-2940
Mailing address
2 Bonnymede Rd
204
Pueblo, CO 81001-1516
Phone (719) 334-3096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6237 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598973166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BONNYMEDE RD",
"address_2": "204",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810011516",
"telephone_number": "719-334-3096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 E 13TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810012940",
"telephone_number": "719-546-6666",
"fax_number": "719-543-7764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVA",
"first_name": "ALFONSO",
"middle_name": "MANUEL",
"name_prefix": "Mr.",
"credential": "BA CAC I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "6237",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.