Active NPI
Ricardo Jaime Chafino
- Mental Health Counselor
- Canutillo, TX
National Provider Identifier
1013036797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- T-0099991
- Practice address
- 6621 Doniphan Dr Ste G
Canutillo, TX 79835-5005 - Phone
- (915) 877-5100
- Fax
- (915) 877-5107
- NPI assigned
- Mar 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | T-0099991 | NM | Primary |
Addresses
Primary practice location
6621 Doniphan Dr Ste G
Canutillo, TX 79835-5005
Mailing address
6621 Doniphan Dr Ste G
Canutillo, TX 79835-5005
Phone (915) 877-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM600035 | Other | NM | NM MEDICAID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-0099991 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunwest Behavioral Associates PA | Mental Health | Past | Accepting new patients |
| Amanecer Psychological Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- El Paso, TX
- NPI 1356435903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013036797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6621 DONIPHAN DR STE G",
"city": "CANUTILLO",
"state": "TX",
"postal_code": "798355005",
"telephone_number": "915-877-5100",
"fax_number": "915-877-5107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6621 DONIPHAN DR STE G",
"city": "CANUTILLO",
"state": "TX",
"postal_code": "798355005",
"telephone_number": "915-877-5100",
"fax_number": "915-877-5107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAFINO",
"first_name": "RICARDO",
"middle_name": "JAIME",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "T-0099991",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM MEDICAID",
"identifier": "NM600035",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canutillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.