MS. HOLLY RAE (NPI# 1114165594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114165594 |
| Entity Type | Individual |
| Full Name | MS. HOLLY RAE |
| Credential | LADAC |
| Practice Address |
413 Sipapu Road Taos NM 87571 |
| Mailing Address |
750 Gusdorf # 308 Taos NM 87571 |
| Practice Telephone | 5757585857 |
| Practice Fax Number | 5757582832 |
| Mailing Telephone | 5757589666 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0065382 | NM | Behavioral Health & Social Service Providers |
| Street Address |
413 SIPAPU ROAD |
| City | TAOS |
| State | NM |
| Zip Code | 87571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336105998 | Jafet Emiro Gonzalez-zakarchenco | Psychiatry & Neurology | 413 Sipapu Road, Taos, NM 87571 | 2006-04-24 |
| 1912232521 | Shannon Elizabeth Sandoval | Licensed Practical Nurse | 413 Sipapu Road, # 6952, Taos, NM 87571 | 2009-10-15 |
| 1932330461 | Jill Ansell | Counselor | 413 Sipapu Road, Taos, NM 87571 | 2009-07-31 |
| 1831378074 | Marjorie Malone | Counselor | 413 Sipapu Road, 6952, Taos, NM 87571 | 2007-10-24 |
| 1861686511 | John Stan Espinoza | Counselor | 413 Sipapu Road, Taos, NM 87571 | 2007-09-05 |
| 1740370113 | Cynthia R. Freeman-valerio | Counselor | 413 Sipapu Road, Box 6952, Taos, NM 87571 | 2006-10-13 |
| 1891718169 | David A Vargas | Specialist | 413 Sipapu Road, Box 6952, Taos, NM 87571 | 2006-07-26 |
| 1851314025 | Nicholas S Woodall | Specialist | 413 Sipapu Road, Box 6952, Taos, NM 87571 | 2006-07-26 |
| 1083637953 | Mariah G. Windsong | Counselor | 413 Sipapu Road, Taos, NM 87571 | 2006-07-25 |
| 1013950252 | Margaret Anne Conolly | Psychiatry & Neurology | 413 Sipapu Road, Box 6952, Taos, NM 87571 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080923 | Veronika Anne Peacetree | Counselor | Vds-taos, 314 Don Fernando Street, Taos, NM 87571 | 2019-02-28 |
| 1043785603 | Lindsey M Schreiber | Counselor | 412 Sipapu Street, Taos, NM 87571 | 2018-10-10 |
| 1881173698 | Mia M Mcmullen | Specialist/Technologist | Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 | 2018-08-13 |
| 1992225403 | Ted Dimond | Counselor | 525 Salazar Rd, Suite A, Taos, NM 87571 | 2017-06-26 |
| 1467908103 | Jacqueline Danielle Arcand | Social Worker | 250 Shadow Mountain Rd, Taos, NM 87571 | 2016-09-01 |
| 1225487812 | James Lucero | Social Worker | 905 Witt Rd., Taos, NM 87571 | 2016-06-06 |
| 1083098370 | Ellen Durant | Marriage & Family Therapist | 1135 Butterfly Rd, Taos, NM 87571 | 2015-07-16 |
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1790179844 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 1130 Butterfly Road, Taos, NM 87571 | 2015-03-26 |
| 1992106041 | Debbie I Salazar, Lisw Ltd Co | Community/Behavioral Health | 208 Ranchitos Road Unit B, Taos, NM 87571 | 2014-09-09 |
| Find all providers in zip 87571 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255764262 | Larry Herrera | Counselor | 224 Cruz Alta Road, Taos, NM 87571 | 2013-08-13 |
| 1609180132 | Rose Maestas | Counselor | 1350 Paseo Del Pueblo Sur Ste 7, Taos, NM 87571-5978 | 2010-07-26 |
| 1639493323 | Andrew C Sidoli | Counselor | 250 Shadow Mountain Road, Taos, NM 87571 | 2010-03-24 |
| 1679806913 | Michael Dennis Cugini | Counselor | 1335 Gusdorf Rd Ste E, Taos, NM 87571-5227 | 2009-09-17 |
| 1346396884 | Guy Thomas Redowl | Counselor | 629 Adrienne Road, Taos, NM 87571 | 2007-01-26 |
| 1356496061 | Amy Williams | Counselor | 705 Felicidad Lane, Taos, NM 87571 | 2007-01-24 |
| 1730278847 | David F Trujillo | Counselor | 314 Don Fernando, Taos, NM 87571 | 2006-10-12 |
| 1770941064 | Shirley Unold | Counselor | 105 Paseo Del Canon W, Ste A, Taos, NM 87571-6943 | 2016-02-02 |
| 1205249091 | Alicia Jones | Counselor | 413 Sipapu St, Taos, NM 87571-6489 | 2014-06-09 |
| 1396189619 | Barbara Whipple | Counselor | 230 Rotten Tree Road, Taos, NM 87571 | 2013-04-18 |
| Find all providers in TAOS | ||||
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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.