Active NPI
Michael Reynolds Hurst, MS, LADAC, CEAP, SAP
- Addiction (Substance Use Disorder) Counselor
- Las Cruces, NM
National Provider Identifier
1639495740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0128791
- Practice address
- 1990 E Lohman Ave
Las Cruces, NM 88001-3172 - Phone
- (575) 636-5260
- Fax
- (575) 524-1454
- NPI assigned
- Apr 14, 2010
- Last updated
- Nov 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0128791 | NM | Primary |
Addresses
Primary practice location
1990 E Lohman Ave
Las Cruces, NM 88001-3172
Mailing address
3621 Sierra Bonita Ave
Las Cruces, NM 88012-0728
Phone (575) 636-5260
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0128791 | NM | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352678400000",
"number": "1639495740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 SIERRA BONITA AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880120728",
"telephone_number": "575-636-5260",
"fax_number": "575-524-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 E LOHMAN AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880013172",
"telephone_number": "575-636-5260",
"fax_number": "575-524-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURST",
"first_name": "MICHAEL",
"middle_name": "REYNOLDS",
"name_prefix": "Mr.",
"credential": "MS, LADAC, CEAP, SAP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-14",
"last_updated": "2012-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "0128791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.