Active NPI
Dusty Dawn Naranjo, LMHC
- Mental Health Counselor
- Espanola, NM
National Provider Identifier
1093011405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0111181
- Practice address
- 1 Kee Rd
Espanola, NM 87532-8907 - Phone
- (150) 569-6315
- Fax
- (505) 692-6341
- NPI assigned
- Feb 2, 2011
- Last updated
- Feb 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0111181 | NM | Primary |
Addresses
Primary practice location
1 Kee Rd
Espanola, NM 87532-8907
Mailing address
1 Kee Rd
Espanola, NM 87532-8907
Phone (505) 692-6315
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 |
|---|---|---|---|
| 0111181 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1093011405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KEE RD",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875328907",
"telephone_number": "505-692-6315",
"fax_number": "505-692-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KEE RD",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875328907",
"telephone_number": "150-569-6315",
"fax_number": "505-692-6341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARANJO",
"first_name": "DUSTY",
"middle_name": "DAWN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-02",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0111181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.