Individual provider Active NPI

Meghan Trujillo I, LSAA

  • Addiction (Substance Use Disorder) Counselor
  • Espanola, NM
National Provider Identifier
1336761287
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CSA0210881 Issued in NM
Practice address
1227 N Railroad Ave Ste C
Espanola, NM 87532-3159
Phone
(505) 423-3353
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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 CSA0210881 NM Primary

Addresses

Primary practice location

1227 N Railroad Ave Ste C
Espanola, NM 87532-3159

Mailing address

PO Box 178
Alcalde, NM 87511-0178
Phone (505) 423-3353

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Bridget.Donahue@marichealth.com Other

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
CSA0210881NMMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1336761287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 178",
            "city": "ALCALDE",
            "state": "NM",
            "postal_code": "875110178",
            "telephone_number": "505-423-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 N RAILROAD AVE STE C",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323159",
            "telephone_number": "505-423-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "MEGHAN",
        "name_suffix": "I",
        "credential": "LSAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CSA0210881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bridget.Donahue@marichealth.com",
            "affiliation": "N",
            "endpointDescription": "Bridget.Donahue@marichealth.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Bridget.Donahue@marichealth.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bridget.Donahue@marichealth.com",
            "address_1": "1227 N Railroad Ave Ste C",
            "city": "Espanola",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875323159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Espanola, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.