Eubank Counseling Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0095601 Issued in NM

Legal business name

EUBANK COUNSELING CENTER, LLC

Practice address

2103 W Main St
Farmington, NM 87401-3220

Phone

(505) 327-0264

Fax

(505) 325-9035

NPI assigned

Dec 26, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Page Eubank, MA, LPCCNPI 1063610491

Title

Licensed Prof Clinical Counselor

Phone

(505) 327-0264

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William P Eubank, MS, MA

  • Mental Health Counselor
  • Farmington, NM
  • NPI 1063610491
  NPD (past) Authorized official
• Linda Ann Eubank, MA

  • Mental Health Counselor
  • Farmington, NM
  • NPI 1851599294
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1043556897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 W MAIN ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874013220",
            "telephone_number": "505-327-0264",
            "fax_number": "505-325-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 W MAIN ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874013220",
            "telephone_number": "505-327-0264",
            "fax_number": "505-325-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUBANK COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "EUBANK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PAGE",
        "authorized_official_title_or_position": "LICENSED PROF CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "505-327-0264",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0095601",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0095591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrilene Esson
• Emily Estes
• Esthetic Dental Group LLC
• Leah Marie Estrada, LSAA
• Liandra Etcitty, LMSW
• Linda Ann Eubank, MA
• William P Eubank, MS, MA
• Kristy Jo Ella Evans, COTA
• Justin Ewell, DMD
• Carol Lynn Ewing, CNM

• All providers in Farmington, NM
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.