MS. LISA C MAVES (NPI# 1417085796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417085796 |
| Entity Type | Individual |
| Full Name | MS. LISA C MAVES |
| Credential | M.A., LPC |
| Practice Address |
110 Sheep Springs Jemez Pueblo NM 87024 |
| Mailing Address |
5725 Quay Dr Ne Rio Rancho NM 87144-5173 |
| Practice Telephone | 5058343059 |
| Practice Fax Number | 5058347093 |
| Mailing Telephone | 5057719383 |
| Mailing Fax Number | 5058347903 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0070821 | NM | Behavioral Health & Social Service Providers |
| Street Address |
110 SHEEP SPRINGS |
| City | JEMEZ PUEBLO |
| State | NM |
| Zip Code | 87024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043202351 | Robert A Gracey | Optometrist | 110 Sheep Springs, Jemez Pueblo, NM 87024-0279 | 2005-08-22 |
| 1336704048 | Arlan Lucero | Specialist | 110 Sheep Springs, Jemez Pueblo, NM 87024 | 2019-05-08 |
| 1194380055 | Narcisso L Toledo | Specialist | 110 Sheep Springs, Jemez Pueblo, NM 87024 | 2019-05-07 |
| 1861056285 | Stuart Gachupin | Specialist | 110 Sheep Springs, Jemez Pueblo, NM 87024-0279 | 2019-05-01 |
| 1811048820 | Carol Y Gachupin | Counselor | 110 Sheep Springs, Jemez Pueblo, NM 87024 | 2007-01-16 |
| 1225188055 | Frank Fidel Fragua | Counselor | 110 Sheep Springs, Jemez Pueblo, NM 87024 | 2007-01-12 |
| 1871553933 | Michael Hennelly | Legal Medicine | 110 Sheep Springs, Jemez Pueblo, NM 87024-0279 | 2006-03-24 |
| 1568436053 | Catherine Taylor | Internal Medicine | 110 Sheep Springs, Jemez Pueblo, NM 87024 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104357003 | Lovelace Unm Rehabilitation Hospital LLC | Physical Therapist | 129 A Canal Street, Jemez Pueblo, NM 87024 | 2017-03-22 |
| 1245786565 | Alana Chinana | Technician, Other | 174 Good Spirits Rd., Jemez Pueblo, NM 87024 | 2016-08-28 |
| 1932482445 | Lovelace Health System LLC | Physical Therapist | 129-a Canal Street, Jemez Pueblo, NM 87024 | 2011-09-21 |
| 1750615506 | Angela Xaviera Torres | Dentist | 110 Sheep Springs Rd, Jemez Pueblo, NM 87024 | 2009-09-28 |
| 1629218631 | Carol Ann Vigil | Counselor | 110 Sheep Spring Rd., Jemez Pueblo, NM 87024 | 2009-03-03 |
| 1821233644 | Debra Ann Benalli | Counselor | 110 Sheep Springs Rd., Jemez Pueblo, NM 87024 | 2008-12-08 |
| 1477676567 | Pueblo of Jemez | Clinic/Center | 110 Sheepsprings Way, Jemez Pueblo, NM 87024 | 2007-04-06 |
| 1780727735 | Marietta Montoya | Contractor | 129 Canal Street, Jemez Pueblo, NM 87024 | 2007-02-15 |
| 1629116611 | Deyvonna Allison Gachupin | Pharmacy Technician | 110 Sheepsprings Rd, Jemez Pueblo, NM 87024 | 2007-02-02 |
| 1801934864 | Vonda J Baca | Registered Nurse | 110 Sheepsprings Way St, Jemez Pueblo, NM 87024 | 2007-02-02 |
| Find all providers in zip 87024 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629218631 | Carol Ann Vigil | Counselor | 110 Sheep Spring Rd., Jemez Pueblo, NM 87024 | 2009-03-03 |
| 1881239374 | Marlencia D Chee | Counselor | 110 Sheep Springs Way, Jemez Pueblo, NM 87024-0279 | 2019-11-08 |
| 1750811600 | Helen Hallas Fredlund | Counselor | 110 Sheep Springs Way, Jemez Pueblo, NM 87024 | 2017-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163481 | Metta Therapeutics LLC | Counselor | 6505 Kaas Trail Ct Ne, Albuquerque, NM 87111-7114 | 2020-10-29 |
| 1679173827 | Joann Elizabeth Mitchell | Counselor | 620 Teresa Ct Se, Rio Rancho, NM 87124-2382 | 2020-10-27 |
| 1184222507 | Teddie Chambers-ruiz | Counselor | 536 Los Lentes Rd Se, Los Lunas, NM 87031-7052 | 2020-10-16 |
| 1740888247 | Patricia Garcia | Counselor | 2006 Southern Blvd Se Ste 202, Rio Rancho, NM 87124-3758 | 2020-10-15 |
| 1467059428 | Danielle Lorraine Mascarenas | Counselor | 932 Tulip Rd Se, Rio Rancho, NM 87124-3858 | 2020-10-02 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1548877855 | Gerasimos Demosthenis Klonis | Counselor | 100 6th St S, Socorro, NM 87801-4139 | 2020-09-30 |
| 1962019349 | Marlina Charisse Mccall | Counselor | 6720 Boca Negra Pl Nw, Albuquerque, NM 87120-1327 | 2020-09-29 |
| 1619584182 | Marybeth Hallman | Counselor | 1219 Luisa St Ste 10, Santa Fe, NM 87505-4176 | 2020-09-28 |
| 1619583366 | Kelsey Ullrich | Counselor | 409 Alejandro Street, Guest House, Santa Fe, NM 87501-8750 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | JEMEZ PUEBLO |
| Zip Code | 87024 |
Please comment or provide details below to improve the information on MS. LISA C MAVES.
| 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.