Active NPI
Bernadette Ybarra
- Professional Counselor
- Pueblo, CO
National Provider Identifier
1720139447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2841
- Legal business name
- BERNADETTE YBARRA
- Practice address
- 417 W 13TH St
Pueblo, CO 81003-2703 - Phone
- (719) 544-0877
- Fax
- (719) 544-2033
- NPI assigned
- Jan 16, 2007
- 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
- Mrs. Bernadette Ybarra, LPC
- Title
- Psychotherapist
- Phone
- (719) 544-0877
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2841 | CO | Primary |
Addresses
Primary practice location
417 W 13TH St
Pueblo, CO 81003-2703
Mailing address
417 W 13TH St
Pueblo, CO 81003-2703
Phone (719) 544-0877
National Provider Directory
National Provider DirectoryLocations
417 W 13th St
Pueblo, CO 81003
Phone (719) 289-6240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720139447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 W 13TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032703",
"telephone_number": "719-544-0877",
"fax_number": "719-544-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 W 13TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032703",
"telephone_number": "719-544-0877",
"fax_number": "719-544-2033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERNADETTE YBARRA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YBARRA",
"authorized_official_first_name": "BERNADETTE",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "719-544-0877",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "CO",
"license": "2841",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.