SOUTHERN COLORADO COUNSELING AND WELLNESS. PLLC
NPI 1396464392
Psychologist - Clinical in Pueblo, CO

Q: What is Southern Colorado Counseling And Wellness. PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since August 23, 2022

417 W 13TH ST, PUEBLO, CO 81003(352) 281-6543 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Southern Colorado Counseling And Wellness. Pllc NPPES

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

SOUTHERN COLORADO COUNSELING AND WELLNESS. PLLC (NPI 1396464392) is a healthcare organization registered as a clinical in Pueblo, Colorado and active in the NPI registry since August 2022. The organization lists Doug Jones, Owner, as its authorized official.

NPPES Registry Identity

NPI1396464392

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSOUTHERN COLORADO COUNSELING AND WELLNESS. PLLC

Location Address417 W 13TH STPueblo, CO 81003-2703

Mailing Address417 W 13th StPueblo, CO 81003-2703 · (352) 281-6543

Phone(352) 281-6543

Organization SubpartNo

Authorized OfficialDoug JonesOwner · (352) 281-6543

Enumeration DateAugust 23, 2022

NPPES CertifiedAugust 23, 2022

✔ NPI 1396464392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

417 W 13TH ST, Pueblo, CO 81003

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Colorado Counseling And Wellness. Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Colorado Counseling And Wellness. PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Douglas Jones, PH.D.

Clinical Psychologist

NPI 1063801579

720 N MAIN ST STE 240
Pueblo, CO 81003

(719) 994-7643

✔ PECOS✔ Accepts Medicare0.5 mi

Kimberly Mahoney

Clinical Social Worker

NPI 1235456393

1301 E 7TH ST
Pueblo, CO 81001

(719) 543-8711

✔ PECOS✔ Accepts Medicare1.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Counseling And Wellness. PLLC's NPI number?

The NPI number for Southern Colorado Counseling And Wellness. PLLC is 1396464392. It was assigned to this organization in the NPPES registry on August 23, 2022.

Where is Southern Colorado Counseling And Wellness. PLLC located?

Southern Colorado Counseling And Wellness. PLLC is located at 417 W 13th St, Pueblo, CO 81003. The listed phone number is (352) 281-6543.

What is Southern Colorado Counseling And Wellness. PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Southern Colorado Counseling And Wellness. PLLC enrolled in Medicare?

Yes. Southern Colorado Counseling And Wellness. PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Colorado Counseling And Wellness. PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southern Colorado Counseling And Wellness. PLLC, in Clinical Psychologist and Clinical Social Worker. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Colorado Counseling And Wellness. PLLC was last updated on August 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.