Tamar Rubin, LPCC
Individual provider Active NPI Professional Counselor · Raton, NM
NPI 1124151808 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1124151808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0170051 (NM)
- Practice address
- 220 4TH Ave
Raton, NM 87740-2643 - Phone
- (575) 758-5857
- Fax
- (575) 758-5860
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0170051 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noesis Integrative Health Inc | Past | Accepting new patients | |
| Tri-County Community Services, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0170051 | NM | Yes |
Addresses
Primary practice location
220 4TH Ave
Raton, NM 87740-2643
Mailing address
PO Box 94508
Albuquerque, NM 87199-4508
Phone (505) 384-7352
Other providers in Raton, NM
- Jolyn Romero
- Patience J. Romero
- Robert Romero
- Amber C Rose
- Cory Rubertus
- Rxteq LLC
- Vinay Saini
- Bernie A. Salazar
- Evelyn Marie Salazar
- Alexis Nicole Sanchez
All providers in Raton, NM · Professional Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.