MICHAEL EDWARD LEYBA (NPI# 1679876429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679876429 |
Entity Type | Individual |
Full Name | MICHAEL EDWARD LEYBA |
Credential | MA,LPC,CACIII |
Practice Address |
4 Montebello Rd. Pueblo CO 81001 |
Mailing Address |
513 E. 13th St. Pueblo CO 81001 |
Practice Telephone | 7195466666 |
Practice Fax Number | 7195437764 |
Mailing Telephone | 7195466666 |
Mailing Fax Number | 7195437764 |
Enumeration Date | 2010-12-17 |
Last Update Date | 2010-12-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 506 | CO | Residential Treatment Facilities |
Street Address |
4 MONTEBELLO RD. |
City | PUEBLO |
State | CO |
Zip Code | 81001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
1609096999 | Pueblo Endodontic Asso LLC | Dentist | 41 Montebello, Suite 206, Pueblo, CO 81001 | 2007-04-27 |
Find all providers in zip 81001 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619308350 | Greg Carbajal | Substance Abuse Rehabilitation Facility | 1625 Gaylord Ave, Pueblo, CO 81004-2660 | 2013-12-05 |
1487935144 | Southern Colorado Comprehensive Court Services | Substance Abuse Rehabilitation Facility | 200 W B St Ste 226, Pueblo, CO 81003-3574 | 2011-09-07 |
1043512916 | Candace M Olguin | Substance Abuse Rehabilitation Facility | 2039 E 10th St, Pueblo, CO 81001-3421 | 2010-11-29 |
1316909732 | Crossroads' Turning Points | Substance Abuse Rehabilitation Facility | 509 E 13th St Bldg B, Pueblo, CO 81001-2940 | 2006-04-03 |
1831543248 | Christopher Romero | Substance Abuse Rehabilitation Facility | 509 E 13th St, Pueblo, CO 81001-2940 | 2016-04-21 |
1447533609 | Crossroads Turning Points | Substance Abuse Rehabilitation Facility | 1711 E Evans Ave, 4 Montelbello Road, Pueblo, CO 81004-3349 | 2011-09-23 |
1619272754 | Crossroads' Turning Points, Inc. | Substance Abuse Rehabilitation Facility | 509 E 13th St, A-wm, Pueblo, CO 81001-2940 | 2011-01-21 |
1710282017 | Crossroads' Turning Points, Inc. | Substance Abuse Rehabilitation Facility | 3500 Baltimore Ave, Pueblo, CO 81008-1543 | 2011-01-18 |
1861729659 | Tara Smith | Substance Abuse Rehabilitation Facility | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2009-11-16 |
1770819393 | John Ryan Vialpando | Substance Abuse Rehabilitation Facility | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2009-11-02 |
Find all providers in PUEBLO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.