Maria C Chavez, LSAA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0109021 Issued in NM

Practice address

218 Broadway Ave
Abq, NM 87048

Phone

(505) 242-6988

NPI assigned

Jan 14, 2009

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 18, 2011.

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1154568087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 BROADWAY BLVD SE",
            "address_2": "#7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871024285",
            "telephone_number": "505-506-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 BROADWAY AVE",
            "city": "ABQ",
            "state": "NM",
            "postal_code": "87048",
            "telephone_number": "505-242-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "MARIA",
        "middle_name": "C",
        "name_prefix": "Miss",
        "credential": "LSAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0109021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dulce Cervantes Montalvo, LMT
• Ebony Tyiann Marie Conner
• Debra Jane Eastman, LMT
• Tracey J Folland, LPCC
• Wendy Lee Hopkins, PHYSICIAN ASSISTANT
• Laura Tenorio

• All providers in Abq, NM
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.