Daybreak Counseling, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C-08163 Issued in NM

Legal business name

DAYBREAK COUNSELING, INC.

Practice address

4001 Office Court Dr Ste 403
Santa Fe, NM 87507-4906

Phone

(505) 395-9456

Fax

(505) 930-5114

NPI assigned

Jun 26, 2018

Last updated

Jun 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hal Agler, LCSW

Title

Chief Clinical Officer

Phone

(505) 395-9456

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1558856104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 OFFICE COURT DR STE 302",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074930",
            "telephone_number": "505-395-9456",
            "fax_number": "505-930-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 OFFICE COURT DR STE 403",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074906",
            "telephone_number": "505-395-9456",
            "fax_number": "505-930-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAK COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "AGLER",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "505-395-9456",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "C-08163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Davis
• Teresa Davis
• Wayne Davis
• Holly Davisborrero, LMFT, LMHC
• Daybreak Councelors, LLC (Daybreak Counselors)
• Anna-Maria Alicia De Costa, MD, PHD
• Grace De Gruccio
• Denise De la Cruz
• Gladys De la Cruz
• Ximena De Los Rios Bustillos

• Community/Behavioral Health Agency in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.