Individual provider Active NPI

Dorcas Fieldson Brem, LPCC

  • Mental Health Counselor
  • Truth Or Consequences, NM
National Provider Identifier
1245418169
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0109611 Issued in NM
Practice address
318 N Broadway St
Truth Or Consequences, NM 87901-2834
Phone
(575) 937-7751
NPI assigned
Feb 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0109611 NM Primary
Professional Counselor 101YP2500X 156 HI

Addresses

Primary practice location

318 N Broadway St
Truth Or Consequences, NM 87901-2834

Mailing address

318 N Broadway St
Truth Or Consequences, NM 87901-2834
Phone (575) 937-7751

Other identifiers 1

IdentifierTypeStateIssuer
15025225MedicaidNM

Other names 1

  • Mrs. Dorcas Fieldson Humphreys Former name

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

LicenseStateTypeSpecialty
0109611NMMDMental Health Counselor
156HIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dorcas F Brem Counseling Service Professional CurrentSince Feb 8, 2023 Accepting new patients

Locations

318 N Broadway St
Truth Or Consequences, NM 87901
Phone (575) 418-9171

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1245418169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N BROADWAY ST",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879012834",
            "telephone_number": "575-937-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N BROADWAY ST",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879012834",
            "telephone_number": "575-937-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREM",
        "first_name": "DORCAS",
        "middle_name": "FIELDSON",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0109611",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "HI",
            "license": "156",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15025225",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORCAS",
            "last_name": "HUMPHREYS",
            "middle_name": "FIELDSON",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Truth Or Consequences, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.