Active NPI
Miriam Ellie Dlouhy, M.S.
- Mental Health Counselor
- Clovis, NM
National Provider Identifier
1487665147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2434
- Practice address
- 921 E 21St St
Suite D
Clovis, NM 88101-4443 - Phone
- (505) 762-0212
- Fax
- (505) 762-0660
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Clovis, NM
- NPI 1043221724
-
- Psychiatry Physician
- Clovis, NM
- NPI 1376615278
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 |
|---|---|---|---|
| 2434 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consulting Psychological Services, PA | Past | Accepting new patients | |
| Karen Higgins Niles Inc | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2434 | NM | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
921 E 21St St
Suite D
Clovis, NM 88101-4443
Mailing address
921 E 21St St
Suite D
Clovis, NM 88101-4443
Phone (505) 762-0212
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| R543 | Other | NM | BLUE CROSS/BLUE SHIELD |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487665147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 E 21ST ST",
"address_2": "SUITE D",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881014443",
"telephone_number": "505-762-0212",
"fax_number": "505-762-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 E 21ST ST",
"address_2": "SUITE D",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881014443",
"telephone_number": "505-762-0212",
"fax_number": "505-762-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DLOUHY",
"first_name": "MIRIAM",
"middle_name": "ELLIE",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "2434",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "R543",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.