Individual provider Active NPI

Jennifer L. Becenti, LADAC

  • Addiction (Substance Use Disorder) Counselor
  • Crownpoint, NM
National Provider Identifier
1275869141
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0120441 Issued in NM
Practice address
Southwest Highland Drive
Crownpoint, NM 87313
Phone
(505) 786-2111
Fax
(505) 786-2020
NPI assigned
Oct 27, 2009
Last updated
Jul 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0120441 NM Primary

Addresses

Primary practice location

Southwest Highland Drive
Crownpoint, NM 87313

Mailing address

P.O. Box 1144
Crownpoint, NM 87313-1144
Phone (505) 786-2111

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
0120441NMMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Navajo Nation Crownpoint Outpatient Treatment Center Addiction (Substance Use Disorder) PastSince Aug 6, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1275869141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1144",
            "city": "CROWNPOINT",
            "state": "NM",
            "postal_code": "873131144",
            "telephone_number": "505-786-2111",
            "fax_number": "505-786-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTHWEST HIGHLAND DRIVE",
            "city": "CROWNPOINT",
            "state": "NM",
            "postal_code": "87313",
            "telephone_number": "505-786-2111",
            "fax_number": "505-786-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECENTI",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "LADAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0120441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crownpoint, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.