| Mrs Denise L Kidd, LPC | |
|
300 Colorado Ave, Pueblo, CO 81004-2006 | |
| (719) 543-8711 | |
| (719) 543-0171 |
| Full Name | Mrs Denise L Kidd |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 25 Years |
| Location | 300 Colorado Ave, Pueblo, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174852750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0000290 (Colorado) | Secondary |
| 101YP2500X | Counselor - Professional | LPC.0003794 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| High Plains Community Health Center Incorporated | 8527031533 | 22 |
| Entity Name | Pueblo Community Health Center Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770529950 PECOS PAC ID: 4284543802 Enrollment ID: O20031104000171 |
| Entity Name | High Plains Community Health Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700889151 PECOS PAC ID: 8527031533 Enrollment ID: O20040818000092 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Denise L Kidd, LPC 110 E Routt Ave, Pueblo, CO 81004-2117 Ph: (719) 543-8711 | Mrs Denise L Kidd, LPC 300 Colorado Ave, Pueblo, CO 81004-2006 Ph: (719) 543-8711 |
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 | |
Jacob Tyler Doering, MS, LPC, NCC, CRC Counselor Medicare: May Accept Medicare Assignments Practice Location: 327 Colorado Ave, Pueblo, CO 81004 Phone: 719-948-7120 | |
Stanley Schleifer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1304 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0119 |