SELENA RUIZ-GOMEZ
NPI 1558746149
Counselor - Professional in Pueblo, CO

Q: What is Selena Ruiz-gomez's NPI number?

The NPI number for Selena Ruiz-gomez is 1558746149. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Q: What is Selena Ruiz-gomez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Selena Ruiz-gomez was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 23, 2015PECOS EnrolledAccepts Medicare Assignment

1304 CHINOOK LN, PUEBLO, CO 81001(719) 545-2746(719) 584-0110 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2018, Feb 17, 2017 (2 updates tracked since 2017).

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About Selena Ruiz-gomez NPPES

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

SELENA RUIZ-GOMEZ (NPI 1558746149) is an individual professional provider in Pueblo, Colorado, licensed in Colorado (LPC.0014692) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1558746149

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSELENA RUIZ-GOMEZ

Location Address1304 CHINOOK LNPueblo, CO 81001

Mailing Address41 Montebello Rd Ste 202Pueblo, CO 81001-1366 · (719) 545-2746 · Fax (719) 542-9638

Phone(719) 545-2746

Fax(719) 584-0110

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 23, 2015

Last NPPES UpdateJune 14, 20182 updates tracked since enumeration

✔ NPI 1558746149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CO · LPC.0014692

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1304 CHINOOK LN, Pueblo, CO 81001

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Selena Ruiz-gomez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678924370

PECOS Enrollment IDI20240108000151

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 20

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

STANLEY SCHLEIFER

Counselor (Professional)