Organization Active NPI

Pecos Valley Counseling

  • Mental Health Counselor
  • Belen, NM
National Provider Identifier
1679179840
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PECOS VALLEY COUNSELING
Practice address
614 Becker Ave
Belen, NM 87002-3634
Phone
(575) 517-0931
Fax
(575) 706-9426
NPI assigned
Dec 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Mr. David L Wright, LMSWNPI 1992010664
Title
Executive Officer
Phone
(575) 517-0931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

614 Becker Ave
Belen, NM 87002-3634

Mailing address

1894 Chaparral Loop
Socorro, NM 87801-3718
Phone (575) 517-0931

National Provider Directory

National Provider Directory

Locations

614 Becker Ave
Belen, NM 87002
Phone (505) 864-8998

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": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1679179840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1894 CHAPARRAL LOOP",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878013718",
            "telephone_number": "575-517-0931",
            "fax_number": "575-706-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 BECKER AVE",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023634",
            "telephone_number": "575-517-0931",
            "fax_number": "575-706-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECOS VALLEY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2023-09-06",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "575-517-0931",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belen, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.