Organization Active NPI

Couch Time Counseling and Consulting

  • Mental Health Counselor
  • Pueblo, CO
National Provider Identifier
1770161242
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COUCH TIME COUNSELING AND CONSULTING
Practice address
226 1/2 S Union Ave Unit 210
Pueblo, CO 81003-3557
Phone
(719) 582-4362
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Dr. Kendal Wellington Humes, LPC, LAC, LIACNPI 1508221276
Title
Owner
Phone
(719) 582-4362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

226 1/2 S Union Ave Unit 210
Pueblo, CO 81003-3557

Mailing address

1022 Fortino Blvd
PO Box 8628
Pueblo, CO 81008
Phone (719) 582-4362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241106001326 CO Part B Supplier - Clinic/Group Practice 7810421302 Receives reassigned benefits from 1 practitioner
Practice locations: Pueblo, CO

National Provider Directory

National Provider Directory

Locations

226 S Union Ave
Unit 210
Pueblo, CO 81003
Phone (719) 582-4362

1022 Fortino Blvd
Unit 8628
Pueblo, CO 81008

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": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1770161242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 FORTINO BLVD",
            "address_2": "PO BOX 8628",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "719-582-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 1/2 S UNION AVE UNIT 210",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033557",
            "telephone_number": "719-582-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUCH TIME COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "HUMES",
        "authorized_official_first_name": "KENDAL",
        "authorized_official_middle_name": "WELLINGTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-582-4362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC, LAC, LIAC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "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 Apr 22, 2025; 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.