Active NPI
Barbara L. Whitlock, M.E.D.
- Professional Counselor
- Roswell, NM
National Provider Identifier
1366656274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0128911
- Practice address
- 1010 N. Virginia
Roswell, NM 88201-5126 - Phone
- (575) 623-9322
- Fax
- (575) 627-6339
- NPI assigned
- May 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1760 | OK | |
| Professional Counselor | 101YP2500X | 0128911 | NM | Primary |
Addresses
Primary practice location
1010 N. Virginia
Roswell, NM 88201-5126
Mailing address
1010 N. Virginia
Roswell, NM 88201-5126
Phone (575) 623-9322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92600824 | Medicaid | NM |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0128911 | NM | MD | Professional Counselor |
| 1760 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1366656274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N. VIRGINIA",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015126",
"telephone_number": "575-623-9322",
"fax_number": "575-627-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N. VIRGINIA",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015126",
"telephone_number": "575-623-9322",
"fax_number": "575-627-6339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLOCK",
"first_name": "BARBARA",
"middle_name": "L.",
"credential": "M.E.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "1760",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0128911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "92600824",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.