Lesli St John, LPC, LAC in Pueblo, CO - Medicare Counselor Provider

Lesli St John, LPC, LAC is a medicare enrolled "Counselor - Professional" provider in Pueblo, Colorado. Her current practice location is 300 Colorado Ave, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 543-8711.

Lesli St John is licensed to practice in Colorado (license number LPC.0012473) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598160954.

Contact Information

	Lesli St John, LPC, LAC
	300 Colorado Ave, Pueblo, CO 81004-2006
	(719) 543-8711
	(719) 543-0171

Map and Direction

Healthcare Provider's Profile

Full Name	Lesli St John
Gender	Female
Speciality	Counselor - Professional
Location	300 Colorado Ave, 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: 1598160954
Provider Enumeration Date: 10/28/2014
Last Update Date: 03/17/2021

Medicare PECOS Information:

PECOS PAC ID: 2567803307
Enrollment ID: I20240510003211

Medical Identifiers

Medical identifiers for Lesli St John such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598160954	NPI	-	NPPES
LPC.0012473	Other	CO	LPC
ACD.0000419	Other	CO	LICENSED ADDICTION COUNSELOR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	ACD.0000419 (Colorado)	Secondary
101YP2500X	Counselor - Professional	LPC.0012473 (Colorado)	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. Lesli St John allows following entities to bill medicare on her 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. Lesli St John 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
Lesli St John, LPC, LAC 110 E Routt Ave, Pueblo, CO 81004-2117 Ph: (719) 543-8711	Lesli St John, LPC, LAC 300 Colorado Ave, Pueblo, CO 81004-2006 Ph: (719) 543-8711

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

Lesli St John, LPC, LAC - Medicare Counselor in Pueblo, CO