Active NPI
The Consortium
- Substance Abuse Rehabilitation Facility
- Fort Sumner, NM
National Provider Identifier
1376770214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- THE CONSORTIUM
- Practice address
- 571 North Tenth Street
Fort Sumner, NM 88119-0427 - Phone
- (575) 355-8038
- Fax
- (575) 355-8041
- NPI assigned
- Jun 18, 2009
- Last updated
- Jun 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Emory James Crawford, LPCC
- Title
- Administrator
- Phone
- (575) 355-8038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
571 North Tenth Street
Fort Sumner, NM 88119-0427
Mailing address
571 North Tenth Street
Fort Sumner, NM 88119-0427
Phone (575) 355-8038
Other names 1
- REGIONAL SUBSTANCE ABUSE TREATMENT INITIATIVE
National Provider Directory
National Provider Directory- Tax ID family
- RCM Health Care Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Fort Sumner, NM
- NPI 1235375460
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Child & Adolescent Psychologist
- Garden Grove, CA
- NPI 1992049639
-
- Behavior Analyst
- Van Nuys, CA
- NPI 1174968317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245283200000",
"number": "1376770214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 NORTH TENTH STREET",
"city": "FORT SUMNER",
"state": "NM",
"postal_code": "881190427",
"telephone_number": "575-355-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "571 NORTH TENTH STREET",
"city": "FORT SUMNER",
"state": "NM",
"postal_code": "881190427",
"telephone_number": "575-355-8038",
"fax_number": "575-355-8041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CONSORTIUM",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-18",
"last_updated": "2009-06-18",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "EMORY",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "575-355-8038",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "REGIONAL SUBSTANCE ABUSE TREATMENT INITIATIVE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Sumner, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.