Destiny Incorporated

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

DESTINY INCORPORATED

Practice address

1339 S Pueblo Blvd
Pueblo, CO 81005

Phone

(719) 564-0163

Fax

(719) 564-0193

NPI assigned

Mar 1, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jonna Kay McClure, BSW

Title

Owner

Phone

(719) 564-0163

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1629376603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81005",
            "telephone_number": "719-564-0163",
            "fax_number": "719-564-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81005",
            "telephone_number": "719-564-0163",
            "fax_number": "719-564-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "JONNA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-564-0163",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99500221",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Alan Deruiter, M.D.
• Roberta Martha Desalvo, LPCC
• Desert Bloom Mental Health LLC
• Desert Willow Health and Rehabilitation Center LLC
• Desert Willow Health and Rehabilitation Center LLC (Desert Willow Health and Rehabilitation Center)
• Stephen Deturk, MD
• Susan Devan
• Quinn Alyse Devinney, PHARMD.
• Dylan B Devries, PA
• Bryan S Dewar, LMT

• Developmentally Disabled Services Day Training Agency in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Developmentally Disabled Services Day Training Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.