Active NPI
John Patrick Baldonado, LADAC
- Addiction (Substance Use Disorder) Counselor
- Alamogordo, NM
National Provider Identifier
1174652507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 4745
- Practice address
- 1601 10TH St Ste C
Alamogordo, NM 88310-5046 - Phone
- (575) 437-2453
- Fax
- (575) 443-1504
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4745 | NM | Primary |
Addresses
Primary practice location
1601 10TH St Ste C
Alamogordo, NM 88310-5046
Mailing address
2500 Aspen Dr
Alamogordo, NM 88310-4202
Phone (575) 437-2453
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4745 | NM | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223510400000",
"number": "1174652507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 ASPEN DR",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883104202",
"telephone_number": "575-437-2453",
"fax_number": "575-443-1504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 10TH ST STE C",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883105046",
"telephone_number": "575-437-2453",
"fax_number": "575-443-1504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDONADO",
"first_name": "JOHN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "LADAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2008-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "4745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.