Organization
CHILDREN'S SPECIALTY CLINIC OF SAN LUIS VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L CLUTTER (CHIEF OF OPERATIONS)
(719) 852-3742
Entity
Organization
Contact information
Practice address
10 RUPERT ST, MONTE VISTA, CO 81144-1042
(719) 852-3742
Mailing address
10 RUPERT ST, MONTE VISTA, CO 81144-1042
(719) 852-3742
(719) 852-2559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/07/2024
Last updated
02/06/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up