Active NPI
Pecos Valley Counseling
- Mental Health Counselor
- Belen, NM
National Provider Identifier
1679179840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David L Wright, LMSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.