Organization Active NPI

Spanish Peaks Mental Health Center

  • Clinical Social Worker
  • Pueblo, CO
National Provider Identifier
1831251016
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
445 Issued in CO
Legal business name
SPANISH PEAKS MENTAL HEALTH CENTER
Practice address
1304 Chinook LN
Pueblo, CO 81001-1851
Phone
(719) 545-2746
Fax
(719) 584-0119
NPI assigned
Dec 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cathleen O'Neil, LCSW
Title
Counselor
Phone
(719) 545-2746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 445 CO Primary

Addresses

Primary practice location

1304 Chinook LN
Pueblo, CO 81001-1851

Mailing address

1012 W Abriendo Ave
Pueblo, CO 81004-1128
Phone (719) 545-2746

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831251016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 W ABRIENDO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041128",
            "telephone_number": "719-545-2746",
            "fax_number": "719-584-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 CHINOOK LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011851",
            "telephone_number": "719-545-2746",
            "fax_number": "719-584-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH PEAKS MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'NEIL",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "719-545-2746",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "445",
            "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.

Verify at the official NPI Registry.