Rosalinda Pena
Counselor, Mental Health in Pueblo, CO. Organization (NPI-2).
NPI number1508300344
StatusActive
Last updated in NPPESDec 13, 2016
Details
- NPI
- 1508300344
- Entity type
- Organization (NPI-2)
- Legal business name
- Rosalinda Pena
- Organization subpart
- No
- Enumeration date
- Dec 13, 2016
- Last updated
- Dec 13, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Crystal Clear Christian Counseling Services (Doing Business As)
Practice location
2612 Ivywood LnPueblo, CO 81004-3642
Phone 719-778-9208
Mailing address
2612 Ivywood LnPueblo, CO 81004-3642
Phone 719-778-9208
Authorized official
Rosalinda Pena
Mental Health Counselor
7197789208
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