James D Schloss Jr.
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · El Prado, NM
NPI 1013782101 · NPPES record last updated Nov 17, 2023
Key facts
- NPI
- 1013782101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CAD0194181 (NM)
- Practice address
- 259 Blueberry Hill Rd
El Prado, NM 87529-7305 - Phone
- (575) 425-1909
- NPI assigned
- Nov 17, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAD0194181 | NM | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifehouse Vista Taos | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAD0194181 | NM | Yes |
Addresses
Primary practice location
259 Blueberry Hill Rd
El Prado, NM 87529-7305
Mailing address
259 Blueberry Hill Rd
El Prado, NM 87529-7305
Phone (575) 425-1909
Other providers in El Prado, NM
- Recovery Works
- Elin McKinnon Ritchie
- Susan K Russo
- Sacred Passage Midwifery
- Rachael Saum
- Irina Sels Campbell
- Noel Simmons
- Mary Adrienne Simonini
- John Smith
- Support 4 Healing
All providers in El Prado, NM · Addiction (Substance Use Disorder) Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.