SOUTHERN COLORADO YOUTH DEVELOPMENT
NPI 1124784913
Counselor - Professional in Pueblo, CO

Q: What is Southern Colorado Youth Development's NPI number?

The NPI number for Southern Colorado Youth Development is 1124784913. It was assigned to this organization in the NPPES registry on November 16, 2021.

Q: What is Southern Colorado Youth Development's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since November 16, 2021

2828 GRANADA BLVD, PUEBLO, CO 81005(719) 671-6188 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Southern Colorado Youth Development NPPES

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

SOUTHERN COLORADO YOUTH DEVELOPMENT (NPI 1124784913) is a healthcare organization registered as a professional in Pueblo, Colorado and active in the NPI registry since November 2021. The organization lists Michael S Riley, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1124784913

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameSOUTHERN COLORADO YOUTH DEVELOPMENT

Location Address2828 GRANADA BLVDPueblo, CO 81005-3104

Mailing Address2828 Granada BlvdPueblo, CO 81005-3104 · (719) 671-6188

Phone(719) 671-6188

Organization SubpartNo

Authorized OfficialMichael S RileyExecutive Director · (719) 671-6188

Enumeration DateNovember 16, 2021

NPPES CertifiedNovember 16, 2021

✔ NPI 1124784913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

2828 GRANADA BLVD, Pueblo, CO 81005

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

PUEBLO DIVERSIFIED INDUSTRIES, INC.

Day Training, Developmentally Disabled Services

2828 GRANADA BLVD
PUEBLO, CO 81005

Pueblo County (719) 564-0000

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 Southern Colorado Youth Development's NPI number?

The NPI number for Southern Colorado Youth Development is 1124784913. It was assigned to this organization in the NPPES registry on November 16, 2021.

Where is Southern Colorado Youth Development located?

Southern Colorado Youth Development is located at 2828 Granada Blvd, Pueblo, CO 81005. The listed phone number is (719) 671-6188.

What is Southern Colorado Youth Development's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Southern Colorado Youth Development was last updated on November 16, 2021. 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.