Christopher David Aguilar
Individual provider Active NPI Professional Counselor · Ribera, NM
NPI 1164109088 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1164109088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CCMH0199471 (NM)
- Practice address
- 12 Sagebrush Way
Ribera, NM 87560-8014 - Phone
- (754) 210-5105
- NPI assigned
- Jul 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| CCMH0199471 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vida Entera Therapeutic Services | Professional | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | CCMH0199471 | NM | Yes |
Addresses
Primary practice location
12 Sagebrush Way
Ribera, NM 87560-8014
Mailing address
PO Box 397
Ribera, NM 87560-0397
Phone (754) 210-5105
Other providers in Ribera, NM
- Casey Ann Applegate-Aguilar
- Chai Midwifery LLC
- El Centro Family Health
- Espiritu Vigil Enterprises, LLC
- Shirley Hollis
All providers in Ribera, 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 3, 2023. 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.