William P Eubank, MS, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0095601 Issued in NM

Practice address

2103 W Main St
Farmington, NM 87401-3220

Phone

(505) 327-0264

Fax

(505) 325-9035

NPI assigned

Jul 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

Practice roles

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.

• Eubank Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Farmington, NM
  • NPI 1043556897
  NPD (past) Authorized official
• Navajo Ministries

  • Mental Health Counselor
  • Farmington, NM
  • NPI 1184803322

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063610491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97A ROAD 5295",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874011532",
            "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": {
        "last_name": "EUBANK",
        "first_name": "WILLIAM",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MS, MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0095601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esthetic Dental Group LLC
• Leah Marie Estrada, LSAA
• Liandra Etcitty, LMSW
• Eubank Counseling Center, LLC
• Linda Ann Eubank, MA
• Kristy Jo Ella Evans, COTA
• Justin Ewell, DMD
• Carol Lynn Ewing, CNM
• Excel Case Management, Inc.
• Exceptional Physicians Group Farmington Hospital PLLC

• All providers in Farmington, NM
• Mental Health Counselor in New Mexico

• 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.

Verify at the official NPI Registry.