Active NPI
Michael Dennis Cugini, MA, LPCC, NCAC II
- Mental Health Counselor
- Taos, NM
National Provider Identifier
1679806913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0100891
- Practice address
- 1335 Gusdorf Rd Ste E
Taos, NM 87571-5227 - Phone
- (575) 758-0670
- Fax
- (575) 751-3557
- NPI assigned
- Sep 17, 2009
- Last updated
- Sep 17, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0100891 | NM | |
| Mental Health Counselor | 101YM0800X | 0100891 | NM | Primary |
Addresses
Primary practice location
1335 Gusdorf Rd Ste E
Taos, NM 87571-5227
Mailing address
1335 Gusdorf Rd Ste E
Taos, NM 87571-5227
Phone (575) 758-0670
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0100891 | NM | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapha Provider Agency LLC | Past | Accepting new patients | |
| Human Resource Development Associates, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Taos, NM
- NPI 1720206113
Addiction (Substance Use Disorder)
-
- Clinical Social Worker
- Taos, NM
- NPI 1588200984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253145600000",
"number": "1679806913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 GUSDORF RD STE E",
"city": "TAOS",
"state": "NM",
"postal_code": "875715227",
"telephone_number": "575-758-0670",
"fax_number": "575-751-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 GUSDORF RD STE E",
"city": "TAOS",
"state": "NM",
"postal_code": "875715227",
"telephone_number": "575-758-0670",
"fax_number": "575-751-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUGINI",
"first_name": "MICHAEL",
"middle_name": "DENNIS",
"credential": "MA, LPCC, NCAC II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-17",
"last_updated": "2009-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "0100891",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0100891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.