Innovative Recovery of New Mexico

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

4878 Issued in NM

Legal business name

INNOVATIVE RECOVERY OF NEW MEXICO

Practice address

880 S Telshor Blvd Ste 110
Las Cruces, NM 88011-8682

Phone

(575) 522-2224

Fax

(575) 208-7253

NPI assigned

Aug 17, 2016

Last updated

Aug 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lee King, LADAC

Title

Ceo

Phone

(575) 522-2224

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1316492564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880041078",
            "telephone_number": "575-522-2224",
            "fax_number": "575-208-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S TELSHOR BLVD STE 110",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118682",
            "telephone_number": "575-522-2224",
            "fax_number": "575-208-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE RECOVERY OF NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-522-2224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "4878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Las Cruces, NM
• Providers in Las Cruces, 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 Aug 17, 2016; 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.