Active NPI
Life Quest Counseling, LLC
- Clinical Social Worker
- Farmington, NM
National Provider Identifier
1417546367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LIFE QUEST COUNSELING, LLC
- Practice address
- 116 N Wall Ave
Farmington, NM 87401-6916 - Phone
- (505) 297-6616
- Fax
- (505) 787-2411
- NPI assigned
- Jan 14, 2021
- 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
- Craig Spencer Hutton, LCSW
- Title
- Owner
- Phone
- (505) 297-6616
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
116 N Wall Ave
Farmington, NM 87401-6916
Mailing address
PO Box 5522
Farmington, NM 87499-5522
Phone (505) 297-6166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210219001149 | NM | Part B Supplier - Clinic/Group Practice | 2062827298 |
Receives reassigned benefits from 1 practitioner Practice locations: Farmington, NM |
National Provider Directory
National Provider DirectoryLocations
116 N Wall Ave
Farmington, NM 87401
Phone (505) 297-6616
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Farmington, NM
- NPI 1982324943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619481600000",
"number": "1417546367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5522",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874995522",
"telephone_number": "505-297-6166",
"fax_number": "505-787-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 N WALL AVE",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016916",
"telephone_number": "505-297-6616",
"fax_number": "505-787-2411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE QUEST COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-14",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A",
"authorized_official_last_name": "HUTTON",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "SPENCER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-297-6616",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.