Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jim Tanner

Individual provider Counselor · NPI 1023749629

Jim Tanner is a Mental Health Counselor in Pueblo, Colorado. Qualified in 2019, 7 years ago. Practices with A New Leaf Therapy PLLC, a 12-clinician group and offers telehealth.

Years since qualifying
7
In the registry since
2022
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Practice location Address checks out

503 N Main St Ste 539
Pueblo, CO 81003-3133
Phone: (719) 766-9299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1023749629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 23, 2022
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address503 N Main St Ste 539, Pueblo, CO 81003-3133

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice A New Leaf Therapy Pllc — 12 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Pueblo