| Counseling On The Couch Llc | |
|
503 N Main St Ste 211 Pueblo CO 81003-3138 | |
| (719) 281-4789 | |
| Not Available |
| Full Name | Counseling On The Couch Llc |
|---|---|
| Speciality | Social Worker |
| Location | 503 N Main St Ste 211, Pueblo, Colorado |
| Authorized Official Name and Position | Jennifer Lynn Spencer (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 7192814789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling On The Couch Llc 1317 N Vermillion Ct Pueblo CO 81007-1345 Ph: (425) 903-1103 | Counseling On The Couch Llc 503 N Main St Ste 211 Pueblo CO 81003-3138 Ph: (719) 281-4789 |
| NPI Number | 1003675091 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Medicare PECOS PAC ID | 4587004940 |
|---|---|
| Medicare Enrollment ID | O20240502000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003675091 | NPI | - | NPPES |
| 6L304 | Other | WA | MEDICARE/COMMERCIAL INSURANCE |
| 6L3403 | Medicaid | CO | |
| 6L3403 | Other | CO | MEDICARE/COMMERCIAL INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Lynn Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972795896 PECOS PAC ID: 7719333954 Enrollment ID: I20231025001012 |
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