Individual provider Active NPI

Joseph E. Sweeney, LPC/LADAC/SAP

  • Mental Health Counselor
  • Vanderwagen, NM
National Provider Identifier
1376735464
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0089971 Issued in NM
Practice address
103A Sagar Drive
Vanderwagen, NM 87326
Phone
(505) 778-5151
Fax
(505) 772-5151
NPI assigned
Aug 13, 2007
Last updated
Sep 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X T-0104081 NM
Mental Health Counselor 101YM0800X 0089971 NM Primary

Addresses

Primary practice location

103A Sagar Drive
Vanderwagen, NM 87326

Mailing address

PO Box 190
Vanderwagen, NM 87326-0190
Phone (505) 778-5151

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
T-0104081NMMDAddiction (Substance Use Disorder) Counselor
0089971NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Confidential Counseling Services LLC Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1376735464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "VANDERWAGEN",
            "state": "NM",
            "postal_code": "873260190",
            "telephone_number": "505-778-5151",
            "fax_number": "505-778-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103A SAGAR DRIVE",
            "city": "VANDERWAGEN",
            "state": "NM",
            "postal_code": "87326",
            "telephone_number": "505-778-5151",
            "fax_number": "505-772-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "JOSEPH",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "LPC/LADAC/SAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "T-0104081",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0089971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vanderwagen, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.