BRENDA BRANDT (NPI# 1245249580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245249580 |
Entity Type | Individual |
Full Name | BRENDA BRANDT |
Credential | LPCC |
Practice Address |
1204 Mechem Dr Ste 6 Ruidoso NM 88345-7207 |
Practice Telephone | 5752588605 |
Mailing Telephone | 5752588605 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2008-01-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
0093431 | NM | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 50324012 | 05 |
Street Address |
1204 MECHEM DR STE 6 |
City | RUIDOSO |
State | NM |
Zip Code | 88345-7207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295386373 | Angela Louise Chavez | Physical Therapy Assistant | 143 El Paseo Road, Ruidoso, NM 88345 | 2019-09-20 |
1740744630 | Aspen Creek Counseling, PC | Community/Behavioral Health | 212 Hidalgo St, Ruidoso, NM 88345 | 2019-01-25 |
1659729960 | Clinical Counseling, Rebekah Stephens LLC | Community/Behavioral Health | 105 Socorro Circle, Ruidoso, NM 88345 | 2016-05-26 |
1013288208 | Emily Jane Fleming | Counselor | 2904 Sudderth Dr, Ruidoso, NM 88345 | 2012-01-19 |
1376810572 | Ronald Lee Annala | Specialist | 101 Annala Lane, Ruidoso, NM 88345 | 2011-11-17 |
1801171731 | Felicia Yelena Fontenot | Dentist | 127 El Paso Road, Ruidoso, NM 88345 | 2011-10-11 |
1497072730 | Richard G Leveque | Counselor | 206 Porr Dirve, Ruidoso, NM 88345 | 2010-04-27 |
1871827899 | Delcia Maurice Gudgel | Counselor | 1400 Sudderth Drive, La Frontera, Ruidoso, NM 88345 | 2009-09-23 |
1740413541 | Yolanda Nelson | Case Manager/Care Coordinator | 208 Sudderth Dr, Ruidoso, NM 88345 | 2009-08-26 |
1164697280 | Elizabeth Urban Candelaria | Social Worker | 1400 Sudderth Dr., Ruidoso, NM 88345 | 2008-04-29 |
Find all providers in zip 88345 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508321555 | Ashlee Mcewen | Counselor | 125 Warrior Dr, Ruidoso, NM 88345-6026 | 2019-02-04 |
1467949834 | Hilary Anne Gunby | Counselor | 200 Mechem Dr Unit 4, Ruidoso, NM 88345-6808 | 2018-04-20 |
1134629058 | Malott Counseling Services | Counselor | 1096 Mechem Dr Ste 212, Ruidoso, NM 88345-7068 | 2018-02-16 |
1013288208 | Emily Jane Fleming | Counselor | 2904 Sudderth Dr, Ruidoso, NM 88345 | 2012-01-19 |
1497072730 | Richard G Leveque | Counselor | 206 Porr Dirve, Ruidoso, NM 88345 | 2010-04-27 |
1235393182 | Susan Margaret Messal | Counselor | 2904 Sudderth Dr Ste B, Ruidoso, NM 88345-6338 | 2008-07-10 |
1427279959 | Kamerin Stclaire | Counselor | 159 Mescalero Trail Unit 8, Ruidoso, NM 88345 | 2007-05-01 |
1417968165 | Julie Wilkinson | Counselor | 206 Sudderth Dr, Ruidoso, NM 88345-6001 | 2006-08-10 |
1619913597 | Diane D Harmon | Counselor | 1096 Mechem, Suite 212, Ruidoso, NM 88345-7067 | 2006-06-21 |
1770941486 | Sierra Blanca Counseling | Counselor | 2904 Sudderth Dr, Ruidoso, NM 88345-6338 | 2016-02-09 |
Find all providers in RUIDOSO |
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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.