Active NPI
Richard Esquibel, CAC III
- Addiction (Substance Use Disorder) Counselor
- Alamosa, CO
National Provider Identifier
1295869725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 5456
- Practice address
- 8745 County Road 9 S
Alamosa, CO 81101-9610 - Phone
- (719) 589-3671
- Fax
- (719) 589-9136
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5456 | CO | Primary |
Addresses
Primary practice location
8745 County Road 9 S
Alamosa, CO 81101-9610
Mailing address
8745 County Road 9 S
Alamosa, CO 81101-9610
Phone (719) 589-3671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04140091 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5456 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1295869725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8745 COUNTY ROAD 9 S",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811019610",
"telephone_number": "719-589-3671",
"fax_number": "719-589-9136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8745 COUNTY ROAD 9 S",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811019610",
"telephone_number": "719-589-3671",
"fax_number": "719-589-9136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESQUIBEL",
"first_name": "RICHARD",
"credential": "CAC III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "5456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04140091",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.