Jodi Dawn Secret

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CMH0225081 Issued in NM

Practice address

3200 32ND Street Byp
Silver City, NM 88061-7802

Phone

(575) 597-2650

Fax

(575) 597-2651

NPI assigned

Nov 5, 2020

Last updated

Jun 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jodi@winbornwc.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Winborn Wellness & Counseling

  • Community/Behavioral Health Agency
  • Deming, NM
  • NPI 1710125067
  NPD

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1174124119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 N MANN DR",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615945",
            "telephone_number": "575-914-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 32ND STREET BYP",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617802",
            "telephone_number": "575-597-2650",
            "fax_number": "575-597-2651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 W Hemlock St",
            "address_purpose": "LOCATION",
            "city": "Deming",
            "state": "NM",
            "postal_code": "880303622",
            "country_code": "US",
            "telephone_number": "575-694-5478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SECRET",
        "first_name": "JODI",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2022-06-08",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-CTL0214061",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0225081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jodi@winbornwc.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Winborn Wellness & Counseling",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "415 W Hemlock St",
            "city": "Deming",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880303622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dennis L. Schrader, MA
• Sherlyn Kay Schultz
• Alan Schumacher, MD
• Robert D Schwartz, LMHC LICENSED MENTAL
• Raymer William Seavers, M.D.
• Jedediah Selke, CPSW
• Alex Selva, CSW
• Eric Senter, BSW
• Seven Oaks Health Services LLC
• Marisa Shapiro, FNP

• Mental Health Counselor in Silver City, NM
• Providers in Silver City, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.