Individual provider Active NPI

Miriam Ellie Dlouhy, M.S.

  • Mental Health Counselor
  • Clovis, NM
National Provider Identifier
1487665147
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2434 Issued in NM
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.

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
2434NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Consulting Psychological Services, PA PastSince Sep 1, 2018 Accepting new patients
Karen Higgins Niles Inc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2434 NM Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
R543OtherNMBLUE 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.

Verify at the official NPI Registry.