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JIM TANNER
NPI 1023749629
Counselor in Pueblo, CO

Active since June 23, 2022PECOS Enrolled
503 N MAIN ST STE 539, PUEBLO, CO 81003(719) 766-9299 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jim Tanner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIM TANNER (NPI 1023749629) is an individual counselor in Pueblo, Colorado and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1023749629
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJIM TANNER
Location Address503 N MAIN ST STE 539Pueblo, CO 81003-3133
Mailing Address503 N Main St Ste 539Pueblo, CO 81003-3133 · (719) 766-9299
Phone(719) 766-9299
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1023749629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
503 N MAIN ST STE 539, Pueblo, CO 81003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jim Tanner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799222717
PECOS Enrollment IDI20240807003252
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE NEXT RIGHT CHOICE LTD
Counselor
503 N MAIN ST STE 539
PUEBLO, CO 81003
Pueblo County (719) 766-9299

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 Jim Tanner's NPI number?

The NPI number for Jim Tanner is 1023749629. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Jim Tanner located?

Jim Tanner practices at 503 N Main St Ste 539, Pueblo, CO 81003. The listed phone number is (719) 766-9299.

What is Jim Tanner's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jim Tanner enrolled in Medicare?

Yes. Jim Tanner is registered in the Medicare PECOS enrollment system.

What insurance does Jim Tanner accept?

Health plans from Providence Health Plan list Jim Tanner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jim Tanner was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.