Joaquin R Silva

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CSA0201701 Issued in NM

Practice address

107 Sunset Loop
Mescalero, NM 88340-0228

Phone

(575) 464-4432

Fax

(505) 212-0576

NPI assigned

Mar 9, 2021

Sex

Male

Sole proprietor

No

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.

• Mescalero Apache Tribe

  • Substance Abuse Rehabilitation Facility
  • Mescalero, NM
  • NPI 1245804301
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 9, 2021.

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1073108296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SUNSET LOOP",
            "city": "MESCALERO",
            "state": "NM",
            "postal_code": "883400228",
            "telephone_number": "575-464-4432",
            "fax_number": "505-212-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SUNSET LOOP",
            "city": "MESCALERO",
            "state": "NM",
            "postal_code": "883400228",
            "telephone_number": "575-464-4432",
            "fax_number": "505-212-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "JOAQUIN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CSA0201701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Gutierrez Sarabia
• Walter Scott, LSAA
• Loretta R Shanta
• Lenora Shendo
• John Lawrence Sickman, PHARM. D.
• Lee David Simmons Jr., MSSW/LISW
• Sylvia K Smart, RN
• Willymae Smith-McNeal, LMHC
• James E Smith, RN
• Edward Manning Sprowl III, PAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.