Dr Kendal Wellington Humes, LPC, LAC, NCC in Pueblo, CO

Dr Kendal Wellington Humes, LPC, LAC, NCC is a medicare enrolled "Counselor - Mental Health" provider in Pueblo, Colorado. His current practice location is 1141 Gray Wolf Cir, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 582-4362.

Dr Kendal Wellington Humes is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508221276.

Contact Information

	Dr Kendal Wellington Humes, LPC, LAC, NCC
	1141 Gray Wolf Cir, Pueblo, CO 81001-4902
	(719) 582-4362
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kendal Wellington Humes
Gender	Male
Speciality	Counselor - Mental Health
Location	1141 Gray Wolf Cir, Pueblo, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508221276
Provider Enumeration Date: 12/23/2015
Last Update Date: 08/26/2024

Medicare PECOS Information:

PECOS PAC ID: 0446696058
Enrollment ID: I20240306000251

Medical Identifiers

Medical identifiers for Dr Kendal Wellington Humes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508221276	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kendal Wellington Humes allows following entities to bill medicare on his behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kendal Wellington Humes is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kendal Wellington Humes, LPC, LAC, NCC 1022 Fortino Blvd, Po Box 8628, Pueblo, CO 81008 Ph: (719) 582-4362	Dr Kendal Wellington Humes, LPC, LAC, NCC 1141 Gray Wolf Cir, Pueblo, CO 81001-4902 Ph: (719) 582-4362

Reviews and Comments

Counselor in Pueblo, CO

Mr. Darren Mitchell Speier, BS CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 E 13th St, Pueblo, CO 81001 Phone: 719-546-6666 Fax: 719-543-7764
Penelope Hyland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-545-2746 Fax: 719-545-4100
Melissa Mahan Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-545-2746 Fax: 719-545-4100
Jaycob Gonzales-cordova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-423-1882
James Ryan Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1304 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0110
Felicia Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1591 Taos Rd, Pueblo, CO 81006 Phone: 719-545-2746
Stanley Schleifer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1304 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0119

Dr Kendal Wellington Humes, LPC, LAC, NCC - Medicare Counselor in Pueblo, CO