PECOS VALLEY COUNSELING (NPI# 1093062580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093062580 |
| Entity Type | Organization |
| Organization Name | PECOS VALLEY COUNSELING |
| Practice Address |
409 N Kansas Ave Roswell NM 88201-3945 |
| Mailing Address |
100 A Kentucky Roswell NM 88203-4519 |
| Practice Telephone | 5759148445 |
| Mailing Telephone | 5759148445 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |
| Authorized Official Name | MR. DAVID LEE WRIGHT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5759148445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | COUNSELING | 03249835007 | 01 |
| Street Address |
409 N KANSAS AVE |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-3945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163984 | Beyond Behavioral Solutions, LLC | Community/Behavioral Health | 420 Roswell Hills Pl, Roswell, GA 30075-3554 | 2020-01-09 |
| 1871007161 | Expansion Guidance Services | Community/Behavioral Health | 760 Old Roswell Rd Ste 208, Roswell, GA 30076-8686 | 2017-11-22 |
| 1912416611 | Brady Behavior Analysis | Community/Behavioral Health | 11865 Wexford Club Dr, Roswell, GA 30075-1471 | 2017-09-25 |
| 1295289759 | Ahmanique Wholeness & Well-being | Community/Behavioral Health | 803 Bombay Ln Ste C, Roswell, GA 30076-5819 | 2016-08-12 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1962891853 | Practical Solutions Counseling, LLC | Community/Behavioral Health | 555 Sun Valley Dr Ste P4, Roswell, GA 30076-5633 | 2015-01-15 |
| 1205258795 | Esperanza Substance Abuse Services Inc. | Community/Behavioral Health | 516 S Hemlock Ave, Roswell, NM 88203-1530 | 2014-01-17 |
| 1811239338 | Susanna Rand | Community/Behavioral Health | 500 N Main St Ste 1006, Roswell, NM 88201-4768 | 2013-03-22 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1235458324 | Michael Byler, Lpc | Community/Behavioral Health | 110 Mansell Cir, Suite 103, Roswell, GA 30075-3799 | 2010-05-27 |
| Find all providers in ROSWELL | ||||
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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.