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MATTHEW DEHERRERA
NPI 1093050965
Counselor in Pueblo, CO

Active since December 04, 2012
1302 CHINOOK LN, PUEBLO, CO 81001(719) 545-2746(719) 545-4100 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew Deherrera NPPES

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

MATTHEW DEHERRERA (NPI 1093050965) is an individual counselor in Pueblo, Colorado and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1093050965
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMATTHEW DEHERRERA
Location Address1302 CHINOOK LNPueblo, CO 81001-1851
Mailing Address1026 W Abriendo AvePueblo, CO 81004-1128 · (719) 423-1193 · Fax (719) 545-4100
Phone(719) 545-2746
Fax(719) 545-4100
Sole ProprietorYes
Enumeration DateDecember 4, 2012
✔ NPI 1093050965 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.

1302 CHINOOK LN, Pueblo, CO 81001
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Other Providers at the Same Location NPPES 20

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

VICTORIA LINDEN LPC
Counselor (Professional)
1302 CHINOOK LN
PUEBLO, CO 81001
Pueblo County (719) 545-2746
SUSAN DEVAN
Counselor (Mental Health)
1302 CHINOOK LN
PUEBLO, CO 81001
Pueblo County (719) 545-2746
DARLA SUE WHEELER RN
Registered Nurse (Psychiatric/Mental Health)
1302 CHINOOK LN
PUEBLO, CO 81001
Pueblo County (719) 545-2746
ERICA SALAZAR
Counselor
1302 CHINOOK LN
PUEBLO, CO 81001
Pueblo County (719) 545-2746
KELLY NELSON
Counselor
1302 CHINOOK LN
PUEBLO, CO 81001
Pueblo County (719) 545-2746
LINDA QUINTANA
Counselor
1302 CHINOOK LN
PUEBLO, CO 81001
Pueblo County (719) 545-2746
LISA PROVENZA
Counselor
1302 CHINOOK LN
PUEBLO, CO 81001
Pueblo County (719) 545-2746
ALICIA MADRID
Counselor
1302 CHINOOK LN
PUEBLO, CO 81001
Pueblo County (719) 545-2746

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 Matthew Deherrera's NPI number?

The NPI number for Matthew Deherrera is 1093050965. It was assigned to this individual provider in the NPPES registry on December 4, 2012.

Where is Matthew Deherrera located?

Matthew Deherrera practices at 1302 Chinook Ln, Pueblo, CO 81001. The listed phone number is (719) 545-2746.

What is Matthew Deherrera's specialty?

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

When was this NPI record last updated?

The NPPES record for Matthew Deherrera was last updated on December 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.