Dezaree Tamara Lee Samford, INTER

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2413 Yale Ave
Alamogordo, NM 88310-4536

Phone

(575) 740-6873

NPI assigned

Apr 26, 2012

Last updated

Aug 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1104184266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 YALE AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104536",
            "telephone_number": "575-740-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 YALE AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104536",
            "telephone_number": "575-740-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMFORD",
        "first_name": "DEZAREE",
        "middle_name": "TAMARA LEE",
        "name_prefix": "Miss",
        "credential": "INTER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18677037",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Narcomy Starr Salcido
• Yanelli Saldana Loya
• Lucero Salicru, RN,FNP,CNM
• Khrystal Lynn Salomon
• Harideep Samanapally
• Angela Samora
• Ruthven N Sampath, M.D.
• Brandy Sanchez
• Erick Sanchez
• Izabel Sanchez

• Mental Health Counselor in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.