Active NPI
Peggy Ann Francis, MS, LADAC,CADS,LMHC
- Children's Substance Abuse Rehabilitation Facility
- Shiprock, NM
National Provider Identifier
1467662015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Substance Abuse Rehabilitation Facility
- License
- 006277
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| T-CTL0203831 | NM | MD | Mental Health Counselor |
| 006277 | NM | MD | Children'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.