EDWARD BACA (NPI# 1871957548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871957548 |
| Entity Type | Individual |
| Full Name | EDWARD BACA |
| Credential | LPCC |
| Practice Address |
700 Friedman Ave 3695 Hot Springs Blvd Las Vegas NM 87701-4231 |
| Practice Telephone | 5054545120 |
| Practice Fax Number | 5054540397 |
| Mailing Telephone | 5054545120 |
| Mailing Fax Number | 5054540397 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0149351 | NM | Behavioral Health & Social Service Providers |
| Street Address |
700 FRIEDMAN AVE 3695 HOT SPRINGS BLVD |
| City | LAS VEGAS |
| State | NM |
| Zip Code | 87701-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617039 | Deborah Ann Stanley | Pharmacist | 700 Friedman Ave, Las Vegas, NM 87701-4231 | 2005-05-23 |
| 1952877474 | Leonard Lucero | Case Manager/Care Coordinator | 700 Friedman Ave, Las Vegas, NM 87701-4231 | 2018-10-23 |
| 1780034389 | Marylou Alirez | Registered Nurse | 700 Friedman Ave, Las Vegas, NM 87701-4231 | 2016-06-15 |
| 1841645041 | Adelita Lopez | Social Worker | 700 Friedman Ave, Las Vegas, NM 87701-4231 | 2016-04-26 |
| 1881079697 | Sharon Singletary-mares | Registered Nurse | 700 Friedman Ave, Las Vegas, NM 87701-4231 | 2015-07-22 |
| 1154710663 | Estella Lopez | Case Manager/Care Coordinator | 700 Friedman Ave, Las Vegas, NM 87701-4231 | 2015-01-21 |
| 1740679257 | Angelene Abeyta | Psychologist | 700 Friedman Ave, Las Vegas, NM 87701-4231 | 2015-01-21 |
| 1780073205 | David Gonzales | Case Manager/Care Coordinator | 700 Friedman Ave, Las Vegas, NM 87701-4231 | 2015-01-21 |
| 1649675562 | Veronica Umerah | Nurse Practitioner | 700 Friedman Ave, Las Vegas, NM 87701-4231 | 2014-11-04 |
| 1215341839 | Audra Lynn Montoya | Psychiatric Hospital | 700 Friedman Ave, 3695 Hot Springs, Las Vegas, NM 87701-4231 | 2014-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
| 1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
| 1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
| 1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
| 1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
| 1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
| Find all providers in zip 87701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971414 | Oluwakemi Temitayo Obajuwonlo | Counselor | 4442 Avery Park Ave, Las Vegas, NV 89110-5488 | 2020-10-29 |
| 1275132862 | Keep Safe Wellcare Center, LLC | Counselor | 1912 Goodwill St, Apt D, Las Vegas, NV 89106-1232 | 2020-10-23 |
| 1568060796 | Rolly Taguinod Quilang | Counselor | 5346 Tipper Ave, Las Vegas, NV 89122-6966 | 2020-10-09 |
| 1255948519 | Jaafah Rashad Coppedge | Counselor | 4400 S Jones Blvd Unit 1028, Las Vegas, NV 89103-3337 | 2020-09-30 |
| 1457968570 | Deborah Ilakay Walker | Counselor | 764 E Twain Ave Apt 5b, Las Vegas, NV 89169-4125 | 2020-09-24 |
| 1912513359 | Parisa Karen Kabiri | Counselor | 6767 W Tropicana Ave #100, Las Vegas, NV 89103-8910 | 2020-09-21 |
| 1861007932 | Camry A Howard | Counselor | 3200 Arville St Apt 146, Las Vegas, NV 89102-7648 | 2020-09-14 |
| 1992319099 | Kayli Wrenn | Counselor | 7788 Peaceful Trellis Dr, Las Vegas, NV 89179-2031 | 2020-09-04 |
| 1932712809 | Williams Consultation | Counselor | 3811 W Charleston Blvd Ste 106, Las Vegas, NV 89102-1846 | 2020-08-28 |
| 1386255321 | Evolve and Heal Wellness Center | Counselor | 1024 W Owens Ave Ste 113, Las Vegas, NV 89106-2520 | 2020-08-13 |
| Find all providers in LAS VEGAS | ||||
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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.