Beau Morgan, LADAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0122871 Issued in NM

Practice address

South West Highland Drive
Crownpoint, NM 87313-1144

Phone

(505) 786-2111

Fax

(505) 786-2020

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Navajo Nation Crownpoint Outpatient Treatment Center

  • Community/Behavioral Health Agency
  • Crownpoint, NM
  • NPI 1831397488

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1316156243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1144",
            "city": "CROWNPOINT",
            "state": "NM",
            "postal_code": "873131144",
            "telephone_number": "505-786-2111",
            "fax_number": "505-786-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTH WEST HIGHLAND DRIVE",
            "city": "CROWNPOINT",
            "state": "NM",
            "postal_code": "873131144",
            "telephone_number": "505-786-2111",
            "fax_number": "505-786-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "BEAU",
        "name_prefix": "Mr.",
        "credential": "LADAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0122871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Matthew Macaltao
• Monika Rae Martinez, PTA
• Charles Elias Matli, PHARMD
• Shawn McHenry, DPT
• Dakota McMurray, PHARMD
• Alexandra J. Murphy, BA,CASE MANAGER
• Appolinaire Nari, PHARM.D.
• Navajo Nation Crownpoint Outpatient Treatment Center
• Sunday Oyedele Oyewo, PHARM.D.
• Michelle Lucy Perales, OD

• Addiction (Substance Use Disorder) Counselor in Crownpoint, NM
• Providers in Crownpoint, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.