TINA GALLEGOS
NPI 1962828038
Counselor - Professional in Pueblo, CO

Q: What is Tina Gallegos's NPI number?

The NPI number for Tina Gallegos is 1962828038. It was assigned to this individual provider in the NPPES registry on March 12, 2014.

Q: What is Tina Gallegos'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 Tina Gallegos was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 12, 2014PECOS EnrolledAccepts Medicare Assignment

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

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 13, 2017, May 12, 2017, Apr 19, 2017 (3 updates tracked since 2017).

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About Tina Gallegos NPPES

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

TINA GALLEGOS (NPI 1962828038) is an individual professional provider in Pueblo, Colorado, licensed in Colorado (LPC.0013683) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1962828038

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTINA GALLEGOS

Location Address1304 CHINOOK LNPueblo, CO 81001-1851

Mailing Address41 Montebello Rd, Suite 204Pueblo, CO 81001-1379 · (719) 423-1341 · Fax (719) 545-4100

Phone(719) 545-2746

Fax(719) 584-0110

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMarch 12, 2014

Last NPPES UpdateMarch 28, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2024

✔ NPI 1962828038 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.0013683

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACB.0006252 (CO)

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

Tina Gallegos 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 ID8426408980

PECOS Enrollment IDI20240529003132

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)