Organization Active NPI

Sandra B. Emanuel, LLC

  • Mental Health Counselor
  • Las Cruces, NM
National Provider Identifier
1588007389
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I-08154 Issued in NM
Legal business name
SANDRA B. EMANUEL, LLC
Doing business as
Genesis Counesling of Las Cruces
Practice address
218 N Campo St
Las Cruces, NM 88001-3508
Phone
(575) 647-8131
Fax
(575) 541-7449
NPI assigned
Apr 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Mrs. Sandra B. Emanuel, LCSW
Title
Owner
Phone
(575) 644-3860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X I-08154 NM Primary

Addresses

Primary practice location

218 N Campo St
Las Cruces, NM 88001-3508

Mailing address

218 N.Campo St
Las Cruces, NM 88001-3172
Phone (575) 647-8131

Other names 1

  • Genesis Counesling of Las Cruces Doing business as

National Provider Directory

National Provider Directory

Locations

218 N Campo St
#O
Las Cruces, NM 88001
Phone (575) 647-8131

218 N Campo St
Las Cruces, NM 88001
Phone (575) 647-8131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1588007389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N.CAMPO ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013172",
            "telephone_number": "575-647-8131",
            "fax_number": "575-541-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N CAMPO ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013508",
            "telephone_number": "575-647-8131",
            "fax_number": "575-541-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA B. EMANUEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "EMANUEL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-644-3860",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "I-08154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Counesling of Las Cruces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.