NPIMap

Organization Active NPI

Agape Counseling, LLC

  • Clinical Social Worker
  • Clovis, NM
National Provider Identifier
1245955111
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 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
Last updated
Oct 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Mr. Seth Sebastian Baker, LCSWNPI 1568012870
Title
LCSW
Phone
(850) 497-2265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.therapyportal.com/p/agapec/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240502003394 NM Part B Supplier - Clinic/Group Practice 7810337151 Receives reassigned benefits from 17 practitioners
Practice locations: Clovis, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1245955111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 ALMOND TREE LN",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881011742",
            "telephone_number": "850-497-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 ALMOND TREE LN",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881011742",
            "telephone_number": "850-497-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "SEBASTIAN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "850-497-2265",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.therapyportal.com/p/agapec/",
            "affiliation": "N",
            "endpointDescription": "Patient therapy portal provided by TherapyNotes.",
            "address_1": "308 Almond Tree Ln",
            "city": "Clovis",
            "state": "NM",
            "country_code": "US",
            "postal_code": "881011742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.