Benjamin Fields, LSAA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · El Prado, NM
NPI 1366068025 · NPPES record last updated Jun 18, 2020
Key facts
- NPI
- 1366068025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CSA0211591 (NM)
- Practice address
- 1208 Paseo del Pueblo Norte
El Prado, NM 87529-8752 - Phone
- (850) 501-0562
- NPI assigned
- Jun 18, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSA0211591 | NM | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CSA0211591 | NM | Yes |
Addresses
Primary practice location
1208 Paseo del Pueblo Norte
El Prado, NM 87529-8752
Mailing address
PO Box 3229
Taos, NM 87571-3229
Phone (850) 501-0562
Other providers in El Prado, NM
- Donald L Flory PHD PC
- Anna Doten
- Elin Ritchie LLC
- Faust'S Transportation, Inc.
- Lucy Whyte Ferguson
- Donald L Flory
- Tony Froeschle
- Andrea Frost
- Erin M Fusting
- Heidi Gates
All providers in El Prado, NM · Addiction (Substance Use Disorder) Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.