BETH MICHELLE MARTIN (NPI# 1780129031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780129031 |
| Entity Type | Individual |
| Full Name | BETH MICHELLE MARTIN |
| Practice Address |
41 Montebello Rd Suite 104 Pueblo CO 81001-1379 |
| Mailing Address |
41 Montebello Rd Suite 200 Pueblo CO 81001-1379 |
| Practice Telephone | 7195452746 |
| Practice Fax Number | 7195840110 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195840110 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACB.0007949 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1164887931 | Beth Martin | Orthotist | 2034 Dabney Rd Ste C, Richmond, VA 23230-3361 | 2015-12-22 |
| 1043608839 | Beth A Martin | Naturopath | 650 W Mesquite St, Gilbert, AZ 85233-6324 | 2014-12-31 |
| 1346585213 | Beth Ellen Martin | Physical Therapist | 19a Duncan Dr, South Deerfield, MA 01373-9771 | 2012-12-04 |
| 1750638359 | Beth Martin | Counselor | 11 Hammond St, Mattapoisett, MA 02739-2602 | 2012-08-14 |
| 1619528668 | Beth Ann Martin | Occupational Therapy Assistant | 3382 Andersonville Hwy, Andersonville, TN 37705-3816 | 2019-09-21 |
| 1043793490 | Beth Anne Martin | Social Worker | 30 Houlton St, Patten, ME 04765-3035 | 2018-09-12 |
| 1285177428 | Beth Martin | Speech-Language Pathologist | 695 E Main St, Gallatin, TN 37066-2472 | 2016-11-21 |
| 1366714735 | Beth Martin | Counselor | 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 | 2012-02-01 |
| 1609173004 | Beth Martin | Social Worker | 950 S Cherry St, Suite 1010, Denver, CO 80246-2699 | 2011-02-21 |
| Street Address |
41 MONTEBELLO RD SUITE 104 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679674147 | Jason Chippeaux | Social Worker | 41 Montebello Rd, Suite 202, Pueblo, CO 81001-1379 | 2006-09-26 |
| 1700483187 | Health Solutions | Clinic/Center | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2020-10-08 |
| 1952908840 | Health Solutions | Clinic/Center | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2020-10-05 |
| 1912465493 | Jim Gray | Social Worker | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2019-03-04 |
| 1528524592 | Christine Foster | Registered Nurse | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2019-02-14 |
| 1750846192 | Caitlin Juliano | Counselor | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2019-02-08 |
| 1518485069 | Lisa Noel Ulibarri | Registered Nurse | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2017-09-05 |
| 1417483835 | Melissa Bruce | Case Manager/Care Coordinator | 41 Montebello Rd, Suite Ll1, Pueblo, CO 81001-1379 | 2017-05-04 |
| 1265972780 | Dirk Rasmussen | Registered Nurse | 41 Montebello Rd, Suite Ll1, Pueblo, CO 81001-1379 | 2017-03-02 |
| 1194263723 | Eugenia Weaver | Peer Specialist | 41 Montebello Rd, Suite 200, Pueblo, CO 81001-1379 | 2017-02-02 |
| Find all providers in the same location | ||||
| 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 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 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 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220099 | Samantha Pino | Counselor | 41 Montebello Rd Ste 124, Pueblo, CO 81001-1366 | 2020-09-16 |
| 1881182830 | Manuel Roman Martinez I | Counselor | 720 N Main St Ste 240, Pueblo, CO 81003-3046 | 2018-04-25 |
| 1952820292 | Victoria Lynn Wallace | Counselor | 79 Bonnymede Rd, Apt 104, Pueblo, CO 81001-8100 | 2017-09-19 |
| 1548703937 | Bradley James Rusovick | Counselor | 56 Duke St, 200 West 'b' Street, Suite 226, Pueblo, CO 81005-1604 | 2016-12-02 |
| 1225393267 | Michael Todd Kragt | Counselor | 1515 Fortino Blvd, Suite 120, Pueblo, CO 81008-1664 | 2012-07-05 |
| 1356603229 | Tracy D Wilson | Counselor | 41 Montebello Rd Ste 104, Pueblo, CO 81001-1366 | 2012-06-15 |
| 1497011613 | Sarah Nicole Sandstrom | Counselor | 560 S Bond Dr, Pueblo, CO 81007-1697 | 2012-04-02 |
| 1093088890 | Oasis Counseling, A Pllc | Counselor | 200 W 29th St, Pueblo, CO 81008-1004 | 2012-02-10 |
| 1083918247 | Leo Paul Arguello | Counselor | 1711 East Evans Avenue, Ctp, M-irt, Pueblo, CO 81004 | 2011-01-03 |
| 1689831737 | Matthew Anthony Capranelli | Counselor | 719 W 29th St, Pueblo, CO 81008-1183 | 2008-05-16 |
| 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.