MS. CARRIE BRAVINDER (NPI# 1629162755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629162755 |
| Entity Type | Individual |
| Full Name | MS. CARRIE BRAVINDER |
| Credential | MA LPCC |
| Practice Address |
1100 W 21st St Clovis NM 88101-4151 |
| Practice Telephone | 5757692345 |
| Mailing Telephone | 5757692345 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC 00162 | MN | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
0184121 | NM | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
74487 | TX | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
4789 | OK | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
MH 10728 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1100 W 21ST ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-4151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463894 | Clara Godwin | Registered Nurse | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-10-08 |
| 1750996369 | Wendy Salomon | Case Manager/Care Coordinator | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-09-10 |
| 1760097372 | Cynthia Cicero | Case Manager/Care Coordinator | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-09-10 |
| 1275145377 | Tiffany Marie Wright | Case Manager/Care Coordinator | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-08-19 |
| 1487266623 | Enrique Eliseo Cabral | Case Manager/Care Coordinator | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-08-19 |
| 1891306288 | Kaitlyn Rael | Case Manager/Care Coordinator | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-08-11 |
| 1437760824 | Clay Enderez | Case Manager/Care Coordinator | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-08-11 |
| 1477162683 | Gema Villanueva | Case Manager/Care Coordinator | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-07-24 |
| 1467061671 | Kristian Cheyenne Antillon | Case Manager/Care Coordinator | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-07-24 |
| 1801410790 | Lesley Arrieta | Case Manager/Care Coordinator | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699232785 | Nicole L Eckhardt | Counselor | 516 Villa Ave Ste 13, Clovis, CA 93612-0899 | 2019-02-25 |
| 1003321761 | Elizabeth Tracy Cappel-rice | Counselor | 287 W Trenton Ave, Clovis, CA 93619-3729 | 2017-12-04 |
| 1073911913 | Marcus Smith | Counselor | 3017 N Prince St Ste B, Clovis, NM 88101-3804 | 2014-12-09 |
| 1134535032 | Rossi Catana Terry | Counselor | 3017 N Prince Street, Suite B, Clovis, NM 88101 | 2014-07-11 |
| 1609001684 | Matt 25 Inc. | Counselor | 1200 Thornton St Ste A, Clovis, NM 88101-5508 | 2009-05-20 |
| 1376748517 | Brenda Lynn Alvarado | Counselor | 208 East Grand Ave. Riovida Counseling, Clovis, NM 88101 | 2007-06-18 |
| 1558307009 | Diane Leigh Ashmore | Counselor | 264 Clovis Ave, Clovis, CA 93612-1115 | 2006-06-22 |
| 1619433497 | Lisa Rochelle Daniele | Counselor | 106 Pollasky Ave Ste D, Clovis, CA 93612-1159 | 2019-02-16 |
| 1073947800 | Riovida Counseling LLC | Counselor | 809 Parkland Dr Ste B, Clovis, NM 88101-4474 | 2013-08-28 |
| 1033403878 | David A Mcvey | Counselor | 1100 W. 21st, Clovis, NM 88101 | 2011-06-08 |
| Find all providers in CLOVIS | ||||
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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.