| Jacob Tyler Doering, MS, LPC, NCC, CRC | |
|
327 Colorado Ave, Pueblo, CO 81004-2005 | |
| (719) 948-7120 | |
| Not Available |
| Full Name | Jacob Tyler Doering |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 327 Colorado Ave, Pueblo, Colorado |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003687047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC.0021786 (Colorado) | Primary |
| 101YP2500X | Counselor - Professional | 87311 (Texas) | Secondary |
| Entity Name | A New Leaf Therapy Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194111500 PECOS PAC ID: 8628346582 Enrollment ID: O20170616001780 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Tyler Doering, MS, LPC, NCC, CRC 4310 Sentinel Pl, Pueblo, CO 81008-1875 Ph: (972) 768-7541 | Jacob Tyler Doering, MS, LPC, NCC, CRC 327 Colorado Ave, Pueblo, CO 81004-2005 Ph: (719) 948-7120 |
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 | |
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 |