AUDREY LARA (NPI# 1730409780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730409780 |
| Entity Type | Individual |
| Full Name | AUDREY LARA |
| Practice Address |
3 Pine Pl Roswell NM 88203-1642 |
| Practice Telephone | 5756273996 |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2010-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | X-06762 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | PROVISIONAL MASTERS SOCIAL WORKER | X-06762 | 01 |
| Street Address |
3 PINE PL |
| City | ROSWELL |
| State | NM |
| Zip Code | 88203-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115586 | Katherine Bolin | Behavior Technician | 333 West Brasher Rd. #200, Roswell, NM 88203 | 2020-02-10 |
| 1437660040 | Pecos Valley Eye Surgery Center, LLC | Clinic/Center | 1610 Se Main Street, Roswell, NM 88203 | 2017-10-23 |
| 1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
| 1447585914 | Whole World Health Care, PC | Pediatrics | 109 W. Bland, Roswell, NM 88203 | 2009-10-16 |
| 1780825372 | Complete Rehab Adult Services | Clinic/Center | 109 W Bland, Roswell, NM 88203 | 2009-03-12 |
| 1710127220 | Roswell Medical Care | Health Maintenance Organization | 111 W Hobbs, Roswell, NM 88203 | 2009-02-23 |
| 1336330513 | Savitri Aguiar | Internal Medicine | 1511 South Grand, Roswell, NM 88203 | 2007-08-05 |
| 1750455523 | Francisco Casio Bicol Jr. | Occupational Therapist | 200 W 1st St Ste 527, Roswell, NM 88203 | 2006-11-20 |
| 1699861542 | Susan Lee Voigt | Counselor | 200 W 1st, Ste 532, Roswell, NM 88203 | 2006-10-05 |
| 1245336940 | Founders Healthcare LLC | Durable Medical Equipment & Medical Supplies | 104 N Missouri Ave, Roswell, NM 88203 | 2006-09-16 |
| Find all providers in zip 88203 | ||||
| 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 |
|---|---|---|---|---|
| 1033439096 | Teresa Serna | Counselor | 2702 Largo Dr, Roswell, NM 88203-4029 | 2010-06-01 |
| 1306052147 | Barbara M Kesler | Counselor | 555 Sun Valley, Suite E1, Roswell, GA 30076 | 2007-05-16 |
| 1821204561 | Charles Carey Cummins | Counselor | 360 Chaffin Ridge Ct, Roswell, GA 30075-2317 | 2007-05-16 |
| 1588877914 | Sandra F. Schremmer | Counselor | 555 Sun Valley Dr., Suite B2, Roswell, GA 30076 | 2007-05-08 |
| 1972538577 | Margaret J. Magley | Counselor | 11755 Pointe Pl, Suite A-1, Roswell, GA 30076-4636 | 2006-07-11 |
| 1174014807 | Flynn Ann Pustilnik | Counselor | 1905 Woodstock Rd Ste 6200, Roswell, GA 30075-5630 | 2018-05-29 |
| 1700324118 | Lynn H Cook | Counselor | 700 Old Roswell Lakes Pkwy, Suite 700, Roswell, GA 30076-1693 | 2017-02-06 |
| 1629435672 | Sheri Schulze | Counselor | 555 Sun Valley Dr, Suite L-4, Roswell, GA 30076-5612 | 2016-01-21 |
| 1164828794 | Harriet Wall | Counselor | 1014 Canton St, Roswell, GA 30075-3615 | 2014-11-10 |
| 1013348804 | Ann Anderson Counseling & Consulting LLC | Counselor | 1210 N Main St, Suite 304, Roswell, NM 88201-5012 | 2013-12-05 |
| Find all providers in ROSWELL | ||||
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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.