Individual provider Active NPI

Sharon Mondragon

  • Professional Counselor
  • Pueblo, CO
National Provider Identifier
1871625574
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0004730 Issued in CO
Practice address
41 Montebello Rd Ste LL1
Pueblo, CO 81001
Phone
(719) 545-2746
Fax
(719) 542-9638
NPI assigned
Mar 9, 2007
Last updated
Aug 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0004730 CO Primary

Addresses

Primary practice location

41 Montebello Rd Ste LL1
Pueblo, CO 81001

Mailing address

41 Montebello Rd Ste 202
Pueblo, CO 81001-1366
Phone (719) 545-2746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223000170 CO Practitioner - Mental Health Counselor 3870937329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health SolutionsGroup PAC ID 0143110668, 39 clinicians

Practice addresses (Care Compare)

41 Montebello Rd
Suite LL1
Pueblo, CO 81001-1379
Phone (719) 545-2746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Solutions CurrentSince Jan 1, 2024 Accepting new patients
Health Solutions CurrentSince Jan 1, 2024 Accepting new patients

Locations

1012 W Abriendo Ave
Pueblo, CO 81004
Phone (719) 583-2207

1302 Chinook Ln
Pueblo, CO 81001

1304 Chinook Ln
Pueblo, CO 81001
Phone (719) 562-3222

1310 Chinook Ln
Pueblo, CO 81001

2003 E 4th St
Pueblo, CO 81001
Phone (719) 544-6373

41 Montebello Rd
Ste 100
Pueblo, CO 81001

41 Montebello Rd
Ste 104
Pueblo, CO 81001

41 Montebello Rd
Ste 116
Pueblo, CO 81001
Phone (719) 423-1500

41 Montebello Rd
Ste 202
Pueblo, CO 81001
Phone (719) 423-1341

41 Montebello Rd
Ste 204
Pueblo, CO 81001
Phone (719) 423-1341

41 Montebello Rd
Ste LL1
Pueblo, CO 81001
Phone (719) 543-7115

41 Montebello Rd
Ste LL2
Pueblo, CO 81001

417 S Indiana Ave
Trinidad, CO 81082
Phone (719) 846-4416

910 E Main St
Trinidad, CO 81082
Phone (719) 631-3370

926 Russell Ave
Walsenburg, CO 81089
Phone (719) 738-2386

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1871625574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MONTEBELLO RD STE 202",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011366",
            "telephone_number": "719-545-2746",
            "fax_number": "719-542-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MONTEBELLO RD STE LL1",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81001",
            "telephone_number": "719-545-2746",
            "fax_number": "719-542-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDRAGON",
        "first_name": "SHARON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0004730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.