Phillip Pasena
Individual provider Active NPI Mental Health Counselor · Moriarty, NM
NPI 1215668876 · NPPES record last updated Jun 23, 2022
Key facts
- NPI
- 1215668876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2005 Rte 66 W, Suite F
Moriarty, NM 87035 - Phone
- (505) 433-8822
- NPI assigned
- Jun 23, 2022
- Sex
- Male
- Sole proprietor
- No
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Clara Counseling LLC | Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2005 Rte 66 W, Suite F
Moriarty, NM 87035
Mailing address
PO Box 2732
Moriarty, NM 87035-2732
Other providers in Moriarty, NM
- New Mexico Family Medicine
- Julie Kay Nowotny
- Sharon J. Ormiston
- Victoria Pace
- Douglas William Pai
- Kimberly Pelkey
- Ginger Peoples
- Kathleen M Phillips
- John Mark Pope
- Positive Change Counseling, LLC
All providers in Moriarty, NM · Mental Health 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 Jun 23, 2022. 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.