Chad Sinclair Pfeiffer, LPCC
Individual provider Active NPI Professional Counselor · Cuba, NM
NPI 1487082343 · NPPES record last updated Jul 14, 2021
Key facts
- NPI
- 1487082343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CCMH0187641 (NM)
- Practice address
- 6349 US Highway 550
Cuba, NM 87013-6032 - Phone
- (505) 820-3466
- NPI assigned
- Oct 30, 2013
- Sex
- Male
- 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 |
|---|---|---|---|
| CCMH0187641 | NM | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CCMH0187641 | NM | Yes |
Addresses
Primary practice location
6349 US Highway 550
Cuba, NM 87013-6032
Mailing address
9620 Entrada Vista Ave NW
Albuquerque, NM 87120-1764
Phone (505) 514-4841
Other practice location 1
9620 Entrada Vista Ave NW
Albuquerque, NM 87120-1764
Phone (505) 514-4841
Other practice location 2
6612 Gulton Ct NE Ste A
Albuquerque, NM 87109-4407
Phone (505) 888-1686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29026849 | Medicaid | NM |
Other providers in Cuba, NM
- Suzanne Elaine Norman
- Lille K. Norstad
- Gary Odasso
- Karen Ojeda
- Julie Marie Pederson
- Presbyterian Medical Services
- Presbyterian Medical Services
- Presbyterian Medical Services
- Presbyterian Medical Services
- Toni A. Price
All providers in Cuba, NM · Professional 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 Jul 14, 2021. 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.