Individual provider Active NPI

Peggy Ann Francis, MS, LADAC,CADS,LMHC

  • Children's Substance Abuse Rehabilitation Facility
  • Shiprock, NM
National Provider Identifier
1467662015
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
006277 Issued in NM
Practice address
Hwy 491 North Pinon St.
Shiprock, NM 87420-1830
Phone
(505) 368-1438
Fax
(505) 368-1452
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T-CTL0203831 NM
Children's Substance Abuse Rehabilitation Facility 3245S0500X 006277 NM Primary

Addresses

Primary practice location

Hwy 491 North Pinon St.
Shiprock, NM 87420-1830

Mailing address

PO Box 1830
Shiprock, NM 87420-1830
Phone (505) 368-1438

Other practice location 1

Box 1830
Yucca St. Dorm 2
Shiprock, NM 87420-1830
Phone (505) 368-1050 ext. 1463

Other names 1

  • Ms. Peggy Ann Smith Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
T-CTL0203831NMMDMental Health Counselor
006277NMMDChildren's Substance Abuse Rehabilitation Facility

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1467662015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1830",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874201830",
            "telephone_number": "505-368-1438",
            "fax_number": "505-368-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 491 NORTH PINON ST.",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874201830",
            "telephone_number": "505-368-1438",
            "fax_number": "505-368-1452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Box 1830",
            "address_2": "Yucca St. Dorm 2",
            "address_purpose": "LOCATION",
            "city": "Shiprock",
            "state": "NM",
            "postal_code": "874201830",
            "country_code": "US",
            "telephone_number": "505-368-1050 x1463",
            "fax_number": "505-368-1467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "PEGGY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS, LADAC,CADS,LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-CTL0203831",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NM",
            "license": "006277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "SMITH",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MS, LADAC,CADS,LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shiprock, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.