MS. CONSUELO CHRISTINA SMITH (NPI# 1912531963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912531963 |
| Entity Type | Individual |
| Full Name | MS. CONSUELO CHRISTINA SMITH |
| Credential | LSAA |
| Practice Address |
650 Vandenbosch Pkwy Gallup NM 87301-5508 |
| Practice Telephone | 5057266919 |
| Mailing Telephone | 5057266919 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CSA0196801 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295383073 | Consuelo Smith | Behavioral Analyst | 255 E Rincon St, Corona, CA 92879-1367 | 2019-08-26 |
| 1407233802 | Consuelo Smith | Counselor | 1161 Bay Blvd, Suite B, Chula Vista, CA 91911-2670 | 2015-05-05 |
| Street Address |
650 VANDENBOSCH PKWY |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831723899 | Randall Zuni | Case Manager/Care Coordinator | 650 Vandenbosch Pkwy, Gallup, NM 87301-5508 | 2020-02-28 |
| 1235764903 | William Michael Camarota | Substance Abuse Rehabilitation Facility | 650 Vandenbosch Pkwy, Gallup, NM 87301-5508 | 2020-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972785962 | Department of Behavioral Health Services | Counselor | 911 College Drive, Building F-room 12, Gallup, NM 87305-3729 | 2007-11-30 |
| 1417160987 | William Clay Pearson | Counselor | 211 W Mesa Ave, Suite #4, Gallup, NM 87301-6382 | 2007-05-08 |
| 1184124133 | Alta Mitchell | Counselor | 216 W Maloney Ave, Gallup, NM 87301-5214 | 2018-02-16 |
| 1174044929 | Curtis Phillips | Counselor | 216 W Maloney Ave, Gallup, NM 87301-8730 | 2017-07-02 |
| 1811417751 | Bernie Montano | Counselor | 216 W Maloney Ave, Gallup, NM 87301-5214 | 2017-06-21 |
| 1285088963 | Hozho Center for Personal Enhancement | Counselor | 216 W Maloney Ave, Gallup, NM 87301-5214 | 2016-04-19 |
| 1538570346 | Erika S Baxter | Counselor | 1919 College Dr, Gallup, NM 87301-7010 | 2014-05-14 |
| 1316370505 | Louise L Mariano | Counselor | 300 W Nizhoni Blvd Ste A, Gallup, NM 87301-5766 | 2013-08-12 |
| 1841540770 | Emma Joan Bartlett | Counselor | 2025 E Aztec Ave, Gallup, NM 87301 | 2012-09-18 |
| 1891087649 | Elderick E Morris | Counselor | 300 W Nizhoni Blvd Ste A, Gallup, NM 87301-5766 | 2011-05-12 |
| Find all providers in GALLUP | ||||
Please comment or provide details below to improve the information on MS. CONSUELO CHRISTINA SMITH.
| 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.