Active NPI
Meghan Trujillo I, LSAA
- Addiction (Substance Use Disorder) Counselor
- Espanola, NM
National Provider Identifier
1336761287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CSA0210881
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CSA0210881 | NM | MD | Addiction (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.