Active NPI
Margie Trujillo, PHD, LPCC
- Professional Counselor
- Farmington, NM
National Provider Identifier
1003875782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1183
- Practice address
- 555 S Schwartz Ave
Farmington, NM 87401-5955 - Phone
- (505) 609-6680
- Fax
- (505) 325-1722
- NPI assigned
- Mar 21, 2006
- Last updated
- Sep 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 1183 | NM | |
| Professional Counselor | 101YP2500X | 1183 | NM | Primary |
Addresses
Primary practice location
555 S Schwartz Ave
Farmington, NM 87401-5955
Mailing address
PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-2258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000A0035 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1183 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1003875782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6210",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874996210",
"telephone_number": "505-609-2258",
"fax_number": "505-609-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S SCHWARTZ AVE",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015955",
"telephone_number": "505-609-6680",
"fax_number": "505-325-1722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "MARGIE",
"credential": "PHD, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "NM",
"license": "1183",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "1183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000A0035",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.