JIM VIGIL (NPI# 1356896674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356896674 |
| Entity Type | Individual |
| Full Name | JIM VIGIL |
| Practice Address |
405 N Date St T Or C NM 87901-2377 |
| Practice Telephone | 5758947459 |
| Mailing Telephone | 5758947459 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 351818 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | STATE OF NEW MEXICO PED | 351818 | 01 |
| Street Address |
405 N DATE ST |
| City | T OR C |
| State | NM |
| Zip Code | 87901-2377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114472438 | Allison Mettey | Speech-Language Pathologist | 405 N Date St, T Or C, NM 87901-2377 | 2016-08-16 |
| 1356896690 | Joi Holsapple | Counselor | 405 N Date St, T Or C, NM 87901-2377 | 2016-08-16 |
| 1730634056 | Patrick Ercolino | Counselor | 405 N Date St, T Or C, NM 87901-2377 | 2016-08-16 |
| 1144680877 | Darlene Rouse | Registered Nurse | 405 N Date St, T Or C, NM 87901-2377 | 2016-02-23 |
| 1740649581 | Sheyla Velez | Registered Nurse | 405 N Date St, T Or C, NM 87901-2377 | 2016-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769011 | Michele Foss | Social Worker | 801 Smith Ave, T Or C, NM 87901 | 2018-02-09 |
| 1487195368 | Steve Stewart | Hospitalist | 800 E. 9th Avenue, Truth Or Consequences, NM 87901 | 2017-03-13 |
| 1750837316 | Klanese Krystal Hatley | Occupational Therapy Assistant | 180 N. Date Street, T Or C, NM 87901 | 2016-09-01 |
| 1932513025 | Karen Grace Gullett | Registered Nurse | 800 East Ninth Ave, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2014-06-17 |
| 1306269824 | Mary Louise Masingale | Case Manager/Care Coordinator | 1714 Carrie St., Truth Or Consequences (t. Or C), NM 87901 | 2014-02-04 |
| 1548402555 | Faustino C. Froilan | Internal Medicine | 800 East Ninth Avenue, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2009-04-06 |
| 1285874735 | Lesley Jo Ping | Occupational Therapy Assistant | 1400 Silver St., Torc, NM 87901 | 2009-02-24 |
| 1437205978 | Bernie Hewett | Ophthalmology | 518 Date, Truth Or Consequences, NM 87901 | 2007-01-26 |
| 1497806764 | Ambercare Medical Supply Company. | Durable Medical Equipment & Medical Supplies | 908 N Date St, T Or C, NM 87901 | 2007-01-15 |
| 1831285568 | Constance Mae Moore | Chiropractor | 310 N. Broadway, Truth Or Consequences, NM 87901 | 2006-10-04 |
| Find all providers in zip 87901 | ||||
| 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 |
|---|---|---|---|---|
| 1093313272 | Scarlett Amber-lynn Thompson | Counselor | 913 Hinkle St, Clovis, NM 88101-5846 | 2020-10-11 |
| 1912510611 | Human Potential Arts LLC | Counselor | 4358 Laughing Crow Ln, Santa Fe, NM 87507-2582 | 2020-08-24 |
| 1437761640 | Erycka Mikkal Sanchez | Counselor | 755 S Telshor Blvd Ste 203t, Las Cruces, NM 88011-8679 | 2020-08-19 |
| 1487278982 | Edward L Lyell | Counselor | 7005 Prospect Pl Ne, Albuquerque, NM 87110-4311 | 2020-06-01 |
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1730701970 | Jennifer Preslar | Counselor | 4801 Beckner Rd Ste 2750, Santa Fe, NM 87507-3641 | 2020-05-11 |
| 1669093241 | Santa Fe Integrative Therapy | Counselor | 1640 Calle Medico Suite E, Santa Fe, NM 87505-4777 | 2020-05-05 |
| 1871144634 | Alisha O'donovan | Counselor | 1390 S Roosevelt Road 30, Rogers, NM 88132-9724 | 2019-09-24 |
| 1831747088 | The Olivetree | Counselor | 808 Fir St, Truth Or Consequences, NM 87901-1724 | 2019-08-30 |
| 1881249704 | Tamara Leanne Letcher | Counselor | 4143 W Main St, Artesia, NM 88210-9532 | 2019-08-07 |
| Find all providers with the same taxonomy | ||||
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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.