Active NPI
Rita Joe, C.AD, LADAC, CACIII,
- Addiction (Substance Use Disorder) Counselor
- Shiprock, NM
National Provider Identifier
1053529636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 3955
- Practice address
- Pinon & Cottonwood Dr Building #2301
Shiprock, NM 87420 - Phone
- (505) 368-1438
- Fax
- (505) 368-1461
- NPI assigned
- May 18, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1864 | AZ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17315 | AZ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RRNN32 | AZ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3955 | NM | Primary |
Addresses
Primary practice location
Pinon & Cottonwood Dr Building #2301
Shiprock, NM 87420
Mailing address
PO Box 273
Towaoc, CO 81334-0273
Phone (970) 560-2414
Other practice location 1
Dorm 2 Yucca St
Shiprock, NM 87420
Phone (505) 368-1465
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 |
|---|---|---|---|
| 17315 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| RRNN32 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| 3955 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| 1864 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Navajo Regional Behavioral Health Center - Outpatient | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Navajo Regional Behavioral Health Center - Adult Residential Treatment | Current | 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 and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Shiprock, NM
- NPI 1366040818
-
- Community/Behavioral Health Agency
- Shiprock, NM
- NPI 1487876991
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1053529636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 273",
"city": "TOWAOC",
"state": "CO",
"postal_code": "813340273",
"telephone_number": "970-560-2414",
"fax_number": "505-368-1467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PINON & COTTONWOOD DR BUILDING #2301",
"city": "SHIPROCK",
"state": "NM",
"postal_code": "87420",
"telephone_number": "505-368-1438",
"fax_number": "505-368-1461"
}
],
"practiceLocations": [
{
"address_1": "Dorm 2 Yucca St",
"address_purpose": "LOCATION",
"city": "Shiprock",
"state": "NM",
"postal_code": "87420",
"country_code": "US",
"telephone_number": "505-368-1465",
"fax_number": "505-368-1467",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOE",
"first_name": "RITA",
"credential": "C.AD, LADAC, CACIII,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "1864",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "17315",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "RRNN32",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "3955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shiprock, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.