NPIMap

Organization Active NPI

Tdcrotinger

  • Professional Counselor
  • Raton, NM
National Provider Identifier
1083001002
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0159381 Issued in NM
Legal business name
TDCROTINGER
Practice address
205 Park Ave
Raton, NM 87740-3834
Phone
(575) 303-3500
Fax
(888) 972-3649
NPI assigned
Apr 16, 2015
Last updated
Apr 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Terry D Crotinger, LPCCNPI 1508811464
Title
Group of 1
Phone
(575) 303-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0159381 NM Primary

Addresses

Primary practice location

205 Park Ave
Raton, NM 87740-3834

Mailing address

PO Box 1396
Raton, NM 87740-1396
Phone (575) 303-3500

National Provider Directory

National Provider Directory

Locations

205 Park Ave
Raton, NM 87740
Phone (575) 303-3500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1083001002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1396",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877401396",
            "telephone_number": "575-303-3500",
            "fax_number": "888-972-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PARK AVE",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877403834",
            "telephone_number": "575-303-3500",
            "fax_number": "888-972-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDCROTINGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "CROTINGER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GROUP  OF 1",
        "authorized_official_telephone_number": "575-303-3500",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0159381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raton, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.