Individual provider Active NPI

Skye Trinity Norton, M.A.

  • Addiction (Substance Use Disorder) Counselor
  • Fort Bayard, NM
National Provider Identifier
1124258652
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0107061 Issued in NM
Practice address
149 Camino del Cielo
Yucca Lodge
Fort Bayard, NM 88036
Phone
(575) 537-8824
Fax
(575) 537-3760
NPI assigned
Jul 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0107061 NM Primary
Mental Health Counselor 101YM0800X 0123441 NM

Addresses

Primary practice location

149 Camino del Cielo
Yucca Lodge
Fort Bayard, NM 88036

Mailing address

PO Box 36219
Yucca Lodge
Fort Bayard, NM 88036-6219
Phone (575) 537-8824

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0107061NMMDAddiction (Substance Use Disorder) Counselor
0123441NMMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1124258652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36219",
            "address_2": "YUCCA LODGE",
            "city": "FORT BAYARD",
            "state": "NM",
            "postal_code": "880366219",
            "telephone_number": "575-537-8824",
            "fax_number": "575-537-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 CAMINO DEL CIELO",
            "address_2": "YUCCA LODGE",
            "city": "FORT BAYARD",
            "state": "NM",
            "postal_code": "88036",
            "telephone_number": "575-537-8824",
            "fax_number": "575-537-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTON",
        "first_name": "SKYE",
        "middle_name": "TRINITY",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0107061",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0123441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bayard, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.