Small Epiphanies, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0213 Issued in NM

Legal business name

SMALL EPIPHANIES, INC.

Practice address

106 S Main Ave
Aztec, NM 87410-2121

Phone

(505) 334-4919

Fax

(505) 334-4916

NPI assigned

Apr 21, 2009

Last updated

Apr 21, 2009By 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

Ms. Josephine Snyder Olson, LPCCNPI 1528256351

Title

President

Phone

(505) 334-4919

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Josephine Snyder Olson, LPCC

  • Mental Health Counselor
  • Aztec, NM
  • NPI 1528256351
  NPD (past) Authorized official

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1649414699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 533",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874100533",
            "telephone_number": "505-334-4919",
            "fax_number": "505-335-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S MAIN AVE",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874102121",
            "telephone_number": "505-334-4919",
            "fax_number": "505-334-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL EPIPHANIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "SNYDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-334-4919",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1528256351",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM STATE THERAPY LICENSE",
            "identifier": "0213",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N4017",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael B Sells, D.C.
• Shannon Selman
• Josalyn Nicole Sewell, R.D.H.
• Shermann Samala Singleton, MD
• Janet Sloan
• Smilemaker Dental Inc.
• Barbara Jean Snyder
• Jack Fields Sona II, RPH
• Vicki M Spear, LMT
• Jessica Lauren Stafford, PHARMD

• Mental Health Counselor in Aztec, NM
• Providers in Aztec, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.