Jennifer L. Becenti, LADAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Crownpoint, NM

NPI 1275869141 · NPPES record last updated Jul 29, 2019

Key facts

NPI
1275869141
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
0120441 (NM)
Practice address
Southwest Highland Drive
Crownpoint, NM 87313
Phone
(505) 786-2111
Fax
(505) 786-2020
NPI assigned
Oct 27, 2009
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0120441NMMDAddiction (Substance Use Disorder) Counselor

Practice roles

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

Specialties & licenses

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

Addresses

Primary practice location

Southwest Highland Drive
Crownpoint, NM 87313

Mailing address

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

Other providers in Crownpoint, NM

All providers in Crownpoint, NM · Addiction (Substance Use Disorder) Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.