Organization Active NPI

Freedom TMS of Pueblo LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pueblo, CO
National Provider Identifier
1609722727
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20260420000641 CO Part B Supplier - Clinic/Group Practice 3678049467 Receives reassigned benefits from 1 practitioner
Practice locations: Pueblo, CO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.