TOM TAFOYA
NPI 1285094599
Social Worker - Clinical in Pueblo, CO
NPI Status: Active since February 29, 2016
Contact Information
924 INDIANA AVE
PUEBLO, CO
ZIP 81004
Phone: (719) 564-9039
Fax: (719) 564-8752
- Individual
- Male
- Social Worker
- Clinical
- Accepts Insurance
- PECOS Enrolled
About TOM TAFOYA
This page provides the complete NPI Profile along with additional information for Tom Tafoya, a provider established in Pueblo, Colorado with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1285094599 assigned on February 2016. The practitioner's primary taxonomy code is 1041C0700X with license number 992301 (CO). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1285094599
- Provider Name
- TOM TAFOYA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 924 INDIANA AVE PUEBLO, CO 81004
- Location Phone
- (719) 564-9039
- Location Fax
- (719) 564-8752
- Mailing Address
- 924 INDIANA AVE PUEBLO, CO 81004
- Mailing Phone
- (719) 564-9039
- Mailing Fax
- (719) 564-8752
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-29-2016
- Last Update Date
- 02-29-2016
- Code Navigator
A clinical social worker like Tom Tafoya is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 992301
- License State
- CO
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Tom Tafoya is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Psychiatric diagnostic evaluation
Psychotherapy, 45 minutes
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
This service was performed 23 times for 23 patientsPsychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
This service was performed 96 times for 23 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 81004 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $58.06
- Maximum New Patient Price $174.82
- Average New Patient Copayment $0
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $43.7
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.2
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.79
- Average Established Patient Copayment $18.05
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.69
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for TOM TAFOYA
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 0 | 9 | 4 | 5 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 0 | 9 | 8 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 0 + 9 + 8 + 5 + 1 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1285094599 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790705697 | NANCY JANE RYAN LCSW Individual | Social Worker | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1467474742 | ANNETTE LONG PHD Individual | Psychologist (Clinical) | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1467474759 | VENICE GALLEGOS M.A. Individual | Counselor (Professional) | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1255345591 | MARY TWINEM PSY.D., M.A. Individual | Physical Therapist | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1508870841 | JAMIE KATHLEEN MCMICHAEL B.A. Individual | Counselor (Addiction (Substance Use Disorder)) | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1366458598 | PHYLLIS GARDNER M.A. Individual | Registered Nurse | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1124037270 | DAVID FERRELL M.ED. Individual | Counselor (Professional) | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1326154923 | G. LYNN STANLEY MA Individual | Counselor (Addiction (Substance Use Disorder)) | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1033250352 | MR. EMMET F. BELLVILLE III MA, MA Individual | Counselor (Professional) | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1356472070 | CAROLE ANNE LUDWIG M.A. Individual | Marriage & Family Therapist | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1760663199 | SADIE A LOPEZ LCSW, CACIII Individual | Social Worker (Clinical) | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1699936187 | JERRY ROBERT ARMIJO LCSW Individual | Social Worker (Clinical) | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1902290927 | MRS. GLORIEAN ORTIZ LPC Individual | Counselor (Professional) | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1750749347 | CHERYL NEUMEISTER LPC Individual | Counselor (Professional) | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1164883336 | MRS. VELVET DAWN FLINT MS, LPC Individual | Counselor (Professional) | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1356366132 | ASSOCIATES FOR PSYCHOTHERAPY AND EDUCATION, PC Organization | Psychologist (Group Psychotherapy) | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1760704456 | BRODY EARL SHEFFER BA Individual | Counselor (Professional) | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1568030724 | KAREN LEE FARBO LPC Individual | Counselor (Professional) | 924 INDIANA AVE PUEBLO, CO 81004 (719) 564-9039 |
| 1235844507 | MANUEL BARRADAS Individual | Behavior Technician | 924 INDIANA AVE PUEBLO, CO 81004 (833) 666-2919 |
| 1922726959 | MARISOL VIGIL Individual | Behavior Technician | 924 INDIANA AVE PUEBLO, CO 81004 (833) 666-2919 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285094599, enumerated in the NPI registry as an "individual" on February 29, 2016
The provider is located at 924 Indiana Ave Pueblo, Co 81004 and the phone number is (719) 564-9039
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Oscar Insurance Company. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $72.2 and an average copayment of 18.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Psychiatric diagnostic evaluation and Psychotherapy, 45 minutes.
This NPI record was last updated on February 29, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.