Erick Brian Pacheco, LADAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0164561 Issued in NM

Practice address

1207 Golf Course Rd SE
Suite C
Rio Rancho, NM 87124-1999

Phone

(505) 994-4100

Fax

(505) 994-1229

NPI assigned

Aug 7, 2012

Last updated

Jun 8, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Re-Cycled Man LLC

  dba A New Awakening Rio Rancho

  • Community/Behavioral Health Agency
  • Rio Rancho, NM
  • NPI 1568866085
  NPD Authorized official
• RCM-Testing LLC

  dba A New Awakening Rio Rancho Testing

  • Clinical Medical Laboratory
  • Rio Rancho, NM
  • NPI 1750833323
  NPD (past) Authorized official
• From Darkness to Light Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Rio Rancho, NM
  • NPI 1487453130

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1548517790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 ASBURY RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245627",
            "telephone_number": "505-489-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 GOLF COURSE RD SE",
            "address_2": "SUITE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241999",
            "telephone_number": "505-994-4100",
            "fax_number": "505-994-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "ERICK",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "LADAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0164561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Otto, LMSW
• Jean M. Overbay, RPH
• Jennifer Overman, PHARMD
• Abena Marfowaa Owusu-Nkwantabisah
• Charmaine Pacheco, BMS
• Marc Anthony Pacheco, D.D.S.
• Marissa Carmen Pacheco
• Melanie M. Pacheco, PHARMD
• Michaela Pacheco
• Michelle Pacheco

• Addiction (Substance Use Disorder) Counselor in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.