Active NPI
Sierra Community Counseling Center
- Mental Health Counselor
- Truth Or Consequences, NM
National Provider Identifier
1578629630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1815
- Legal business name
- SIERRA COMMUNITY COUNSELING CENTER
- Practice address
- 1160 E Riverside Dr
Truth Or Consequences, NM 87901-2936 - Phone
- (505) 894-8030
- Fax
- (505) 894-8030
- NPI assigned
- Dec 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael A Dahlin, LMHC
- Title
- Executive Director
- Phone
- (505) 894-8030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1815 | NM | Primary |
Addresses
Primary practice location
1160 E Riverside Dr
Truth Or Consequences, NM 87901-2936
Mailing address
PO Box 3051
Truth Or Consequences, NM 87901-7051
Phone (505) 894-8030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM600743 | Other | NM | VALUE OPTIONS NEW MEXICO |
| 26209233 | Medicaid | NM |
National Provider Directory
National Provider Directory- Tax ID family
- Sierra Community Counseling Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Silver City, NM
- NPI 1851524623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1578629630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3051",
"city": "TRUTH OR CONSEQUENCES",
"state": "NM",
"postal_code": "879017051",
"telephone_number": "505-894-8030",
"fax_number": "505-894-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 E RIVERSIDE DR",
"city": "TRUTH OR CONSEQUENCES",
"state": "NM",
"postal_code": "879012936",
"telephone_number": "505-894-8030",
"fax_number": "505-894-8030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIERRA COMMUNITY COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DAHLIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "505-894-8030",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "1815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS NEW MEXICO",
"identifier": "NM600743",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26209233",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Truth Or Consequences, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.