Active NPI
Jose Leon
- Addiction (Substance Use Disorder) Counselor
- Holyoke, CO
National Provider Identifier
1942565296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- ACB-1781
- Practice address
- 115 N Campbell Ave
Holyoke, CO 80734-1003 - Phone
- (970) 854-2117
- Fax
- (970) 522-4211
- NPI assigned
- Jul 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACB-1781 | CO | Primary |
Addresses
Primary practice location
115 N Campbell Ave
Holyoke, CO 80734-1003
Mailing address
211 W Main St
Sterling, CO 80751-3168
Phone (970) 522-4549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACB-1781 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1942565296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 W MAIN ST",
"city": "STERLING",
"state": "CO",
"postal_code": "807513168",
"telephone_number": "970-522-4549",
"fax_number": "970-522-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N CAMPBELL AVE",
"city": "HOLYOKE",
"state": "CO",
"postal_code": "807341003",
"telephone_number": "970-854-2117",
"fax_number": "970-522-4211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "JOSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-11",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACB-1781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.