Organization Active NPI

Angels Network Counseling Services

  • Mental Health Counselor
  • Las Cruces, NM
National Provider Identifier
1104478858
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ANGELS NETWORK COUNSELING SERVICES
Practice address
811 E Amador Ave
Las Cruces, NM 88001-3378
Phone
(575) 312-2348
NPI assigned
Jul 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Maria BagwellNPI 1588003123
Title
Therapist
Phone
(575) 312-2348

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
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

811 E Amador Ave
Las Cruces, NM 88001-3378

Mailing address

811 E Amador Ave
Las Cruces, NM 88001-3378
Phone (575) 312-2348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241115002562 NM Part B Supplier - Clinic/Group Practice 1557895331 Receives reassigned benefits from 1 practitioner
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

811 E Amador Ave
Las Cruces, NM 88001
Phone (575) 312-2348

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1104478858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E AMADOR AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013378",
            "telephone_number": "575-312-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E AMADOR AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013378",
            "telephone_number": "575-312-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS NETWORK COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "BAGWELL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "575-312-2348"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.