Emily Meadows, LPC
Individual provider Active NPI Mental Health Counselor · Raton, NM
NPI 1457745580 · NPPES record last updated Mar 26, 2015
Key facts
- NPI
- 1457745580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- T-0172211 (NM)
- Practice address
- 101 Letton Dr
Raton, NM 87740-4366 - Phone
- (575) 445-8568
- Fax
- (575) 445-0540
- NPI assigned
- Mar 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-0172211 | NM | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | T-0172211 | NM | Yes |
Addresses
Primary practice location
101 Letton Dr
Raton, NM 87740-4366
Mailing address
207 S 2ND St
Raton, NM 87740-4366
Phone (575) 445-8568
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71525564 | Medicaid | NM |
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All providers in Raton, NM · Mental Health Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.