MUKTA KAUR KHALSA (NPI# 1669941209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669941209 |
| Entity Type | Individual |
| Full Name | MUKTA KAUR KHALSA |
| Other Name | MUKTA KAUR KHALSA |
| Credential | PMHC, LADAC |
| Practice Address |
1 Ram Das Guru Pl Espanola NM 87532-8213 |
| Mailing Address |
Po Box 94508 Albuquerque NM 87199-4508 |
| Practice Telephone | 5056996505 |
| Mailing Telephone | 5053847352 |
| Mailing Fax Number | 5052747338 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAD3416 | NM | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0397 | NM | Behavioral Health & Social Service Providers |
| Street Address |
1 RAM DAS GURU PL |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-8213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1083189096 | Emily J Everhart | Counselor | 835 Spruce St Ste Candd, Espanola, NM 87532-3455 | 2018-10-05 |
| 1588178198 | Nicole Lynne Ortiz | Counselor | 835 Spruce St Ste D, Espanola, NM 87532-3455 | 2017-11-20 |
| 1043731342 | Christine Miller | Counselor | 810 N Paseo De Onate, Espanola, NM 87532-2613 | 2017-06-28 |
| 1134452915 | Joyce Joann Viarrial | Counselor | 1102 A. Paseo De Onate, Espanola, NM 87532 | 2009-09-11 |
| 1962686873 | Janice Fron | Counselor | 907 W. Bond, Espanola, NM 87532 | 2007-12-27 |
| 1891980603 | Nancy Viola Dominguez | Counselor | 907 West Bond Street, Espanola, NM 87532 | 2007-09-14 |
| 1154477404 | Michael Wayne Wallington | Counselor | 904 E Fairview Ln # B, Espanola, NM 87532-2822 | 2007-01-26 |
| 1780773895 | Loretta Bifulco | Counselor | 904 Fairview Dr., Suite A, Espanola, NM 87532 | 2006-10-12 |
| 1730278854 | Wayne Favreau | Counselor | 1302 Calle De La Merced, Espanola, NM 87532-2624 | 2006-10-12 |
| Find all providers in ESPANOLA | ||||
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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.