Individual provider Active NPI

Manasseh Cody Begay

  • Clinical Social Worker
  • Farmington, NM
National Provider Identifier
1407460231
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
X11280 Issued in NM
Practice address
5101 College Blvd
Farmington, NM 87402-4709
Phone
(505) 787-2518
NPI assigned
Aug 31, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X CAD0195421 NM
Clinical Social Worker 1041C0700X X11280 NM Primary

Addresses

Primary practice location

5101 College Blvd
Farmington, NM 87402-4709

Mailing address

2529 Rio Vista Way
Farmington, NM 87401-4562
Phone (505) 608-4107

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
CAD0195421NMMDAddiction (Substance Use Disorder) Counselor
X11280NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela L Begay Psychotherapy, LLC Clinical CurrentSince Sep 6, 2020 Accepting new patients

Locations

5101 College Blvd
Farmington, NM 87402
Phone (505) 608-4107

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1407460231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 RIO VISTA WAY",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014562",
            "telephone_number": "505-608-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 COLLEGE BLVD",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024709",
            "telephone_number": "505-787-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEGAY",
        "first_name": "MANASSEH",
        "middle_name": "CODY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CAD0195421",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X11280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.