Agape Counseling, LLC
Organization Active NPI Clinical Social Worker · Clovis, NM
NPI 1245955111 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1245955111
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- AGAPE COUNSELING, LLC
- Practice address
- 308 Almond Tree LN
Clovis, NM 88101-1742 - Phone
- (850) 497-2265
- NPI assigned
- Oct 4, 2022
- Organization subpart
- No
Authorized official
- Name
- Mr. Seth Sebastian Baker, LCSW
- Title
- LCSW
- Phone
- (850) 497-2265
Practitioners 18
-
Jeremiah Quinton Billie, LMHC
-
Vickie Marie Hobbs, LCSW
-
Nichole A Olguin, LMSW
-
Angela N Lutz, PSYCHOLOGIST
-
Seth Sebastian Baker, LCSW
-
Taylor Joanne Faver, LCSW
-
Lynn P Fronk, SW
-
David Lee Rossen, LMHC
-
Michayla Cook, LMHC
-
Eulalia Veronica Ruiz, PROVISIONAL LMHC
-
Sidney Alexis Baker, LMSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240502003394 | NM | Part B Supplier - Clinic/Group Practice | 7810337151 |
Receives reassigned benefits from 17 practitioners Practice locations: Clovis, NM |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
308 Almond Tree LN
Clovis, NM 88101-1742
Mailing address
308 Almond Tree LN
Clovis, NM 88101-1742
Phone (850) 497-2265
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568012870 | Other | NM | TYPE 1 NPI |
| 21006768 | Medicaid | NM |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.therapyportal.com/p/agapec/ |
Other providers in Clovis, NM
- Tanisha Rea Aday
- Nicole Jeanne Addison
- Jessica Adkins
- Joshua Adkins
- Lisa K Agan
- Aia,PC
- Albert M Kwan MD PC
- Jasmine L Alday
- Aldimed Clinica Medica
- Aryn N Alexander
All providers in Clovis, NM · Clinical Social Worker 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 Oct 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.