Active NPI
Freedom TMS of Pueblo LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pueblo, CO
National Provider Identifier
1609722727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- FREEDOM TMS OF PUEBLO LLC
- Practice address
- 201 W 8TH St Ste 350
Pueblo, CO 81003-3040 - Phone
- (682) 331-5592
- NPI assigned
- Mar 10, 2026
- Last updated
- Mar 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leland Devaughn Jr.
- Title
- Membet
- Phone
- (682) 331-5592
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
201 W 8TH St Ste 350
Pueblo, CO 81003-3040
Mailing address
201 W 8TH St Ste 350
Pueblo, CO 81003-3040
Phone (682) 331-5592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
201 W 8th St
Ste 350
Pueblo, CO 81003
Phone (682) 331-5592
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Pueblo West, CO
- NPI 1144318064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773100800000",
"number": "1609722727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W 8TH ST STE 350",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810033040",
"telephone_number": "682-331-5592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W 8TH ST STE 350",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810033040",
"telephone_number": "682-331-5592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM TMS OF PUEBLO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-10",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A",
"authorized_official_last_name": "DEVAUGHN",
"authorized_official_first_name": "LELAND",
"authorized_official_title_or_position": "MEMBET",
"authorized_official_telephone_number": "682-331-5592",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"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 Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.