Virginia McNally, LPCC, LADAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

85531 Issued in NM

Practice address

HC 70, Box 320
Pecos, NM 87552-9508

Phone

(505) 757-2727

Fax

(505) 757-2727

NPI assigned

Oct 5, 2007

Last updated

Oct 5, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1659569473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 70, BOX 320",
            "city": "PECOS",
            "state": "NM",
            "postal_code": "875529508",
            "telephone_number": "505-757-2727",
            "fax_number": "505-757-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 70, BOX 320",
            "city": "PECOS",
            "state": "NM",
            "postal_code": "875529508",
            "telephone_number": "505-757-2727",
            "fax_number": "505-757-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNALLY",
        "first_name": "VIRGINIA",
        "credential": "LPCC, LADAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "73131",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "85531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79755",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianna Virginia Jaramillo, CPSW
• Mark Allen Kneisley
• Lilia Lopez de Varela, CCHW
• Susan Upton Lovro
• Brigette K Lucero, RN
• Pamela Ortiz, RN
• Nathan Pack, MA, OTRL
• Pecos Independent School District
• Pecos Valley Ambulance Service
• Pecos Valley Ambulance Service

• Mental Health Counselor in Pecos, NM
• Providers in Pecos, 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 Oct 5, 2007; 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.