JEREMY HIBBER (NPI# 1245566413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245566413 |
| Entity Type | Individual |
| Full Name | JEREMY HIBBER |
| Credential | BMS |
| Practice Address |
220 W Second St Portales NM 88310 |
| Mailing Address |
Po Box 28220 Santa Fe NM 87592 |
| Practice Telephone | 5753562223 |
| Mailing Telephone | 5054715006 |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
220 W SECOND ST |
| City | PORTALES |
| State | NM |
| Zip Code | 88310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104124205 | Matthew Pacheco | Counselor | 220 W. Second Street, Portales, NM 88130 | 2011-03-14 |
| 1487987640 | Dina N. Ortega | Counselor | 1111 W. Fir, Portales, NM 88130 | 2009-09-04 |
| 1396199279 | White Oaks Counseling, LLC | Counselor | 1420 S Avenue O, Portales, NM 88130-7001 | 2016-04-18 |
| 1982084356 | Amy Braddock | Counselor | 1500 S Ave K, Station 3, Shroc, Portales, NM 88130 | 2015-06-01 |
| 1831538628 | Isaac Saiz | Counselor | 220 W 2nd St, Portales, NM 88130-6232 | 2013-06-14 |
| 1720421944 | Deonte Johnson | Counselor | 1111 W Fir St, Portales, NM 88130-5826 | 2013-04-08 |
| 1861735698 | Marie Joiner | Counselor | 220 W 2nd St, Portales, NM 88130-6232 | 2013-03-29 |
| 1336486604 | Jamie Montoya | Counselor | 220 W 2nd St, Portales, NM 88130-6232 | 2013-01-07 |
| 1508103870 | Jaime Cereceres | Counselor | 220 W 2nd St, Portales, NM 88130-6232 | 2013-01-07 |
| 1407118706 | Bennie Shepherd | Counselor | 1111 W Fir St, Portales, NM 88130-5826 | 2012-06-12 |
| Find all providers in PORTALES | ||||
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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.