MS. TINA LORRAINE BEZONA LPC
NPI 1003031287
Counselor - Professional in Canon City, CO
About Ms. Tina Lorraine Bezona Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TINA LORRAINE BEZONA LPC (NPI 1003031287) is an individual professional provider in Canon City, Colorado, licensed in Colorado (4266) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Tina Lorraine Bezona Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tina Bezona reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Canon City, CO 81212
- Reassigned Medicare billing, Colorado enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tina Bezona's NPI number?
The NPI number for Tina Bezona is 1003031287. It was assigned to this individual provider in the NPPES registry on April 14, 2007.
Where is Tina Bezona located?
Tina Bezona practices at 107 S 9th St, Canon City, CO 81212. The listed phone number is (719) 430-5929.
What is Tina Bezona's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Tina Bezona enrolled in Medicare?
Yes. Tina Bezona is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tina Bezona's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Bezona reassigns Medicare benefits to Sacred Self Counseling, LLC (Canon City, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tina Bezona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tina Bezona was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Tina Lorraine Bezona, LPC · NPI 1003031287
Professional provider in Canon City, Colorado. Individual provider, active in the CMS NPPES registry since April 14, 2007.
## Identity
- **NPI:** 1003031287 (Entity type: Individual)
- **Enumerated:** April 14, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 4266 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 107 S 9TH ST, Canon City, CO 81212-3800
- **Phone:** (719) 430-5929
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sacred Self Counseling, LLC (NPI 1710614102, Canon City, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003031287) · Data from the CMS NPPES public registry.