Organization Active NPI

Inner Refuge Therapy

  • Clinical Social Worker
  • Pueblo, CO
National Provider Identifier
1821772963
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INNER REFUGE THERAPY
Practice address
720 N Main St Ste 240
Pueblo, CO 81003-3046
Phone
(719) 203-7949
Fax
(719) 465-5282
NPI assigned
Jun 9, 2023
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Rachel Donohue-Dupler, LCSWNPI 1720593395
Title
Owner/Ceo
Phone
(719) 306-1765

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

720 N Main St Ste 240
Pueblo, CO 81003-3046

Mailing address

720 N Main St Ste 240
Pueblo, CO 81003-3046
Phone (719) 203-7949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240207000813 CO Part B Supplier - Clinic/Group Practice 2163865189 Receives reassigned benefits from 1 practitioner
Practice locations: Pueblo, CO

National Provider Directory

National Provider Directory

Locations

720 N Main St
Ste 240
Pueblo, CO 81003
Phone (719) 203-7949

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": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1821772963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N MAIN ST STE 240",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033046",
            "telephone_number": "719-203-7949",
            "fax_number": "719-465-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N MAIN ST STE 240",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033046",
            "telephone_number": "719-203-7949",
            "fax_number": "719-465-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER REFUGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "DONOHUE-DUPLER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "719-306-1765",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "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 Feb 19, 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.