Janet S Oliver, LPCC
Individual provider Active NPI Professional Counselor · Angel Fire, NM
NPI 1255435608 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1255435608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 91521 (NM)
- Practice address
- 09 Llano Vista Rd
Black Lake Division
Angel Fire, NM 87710 - Phone
- (505) 377-3193
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91521 | NM | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 91521 | NM | Yes |
Addresses
Primary practice location
09 Llano Vista Rd
Black Lake Division
Angel Fire, NM 87710
Mailing address
P.O. Box 1319
Angel Fire, NM 87710
Phone (505) 377-3193
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42980844 | Medicaid | NM |
Other providers in Angel Fire, NM
- James Butts Jr RPH
- Shenan Lark
- Rhonda Joann Lee
- Strider Aragorn McCash
- Moreno Valley High School
- Presbyterian Healthcare Services
- South Central Colfax County Special Hospital District
- South Central Colfax County Special Hospital District
- Sunrise Clinics
- Taos Sports Medicine Serices LLC
All providers in Angel Fire, NM · Professional 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 Jul 9, 2007. 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.