NPIMap

Organization Active NPI

Winborn Wellness & Counseling

  • Community/Behavioral Health Agency
  • Deming, NM
National Provider Identifier
1710125067
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WINBORN WELLNESS & COUNSELING
Practice address
415 W Hemlock St
Deming, NM 88030-3622
Phone
(575) 694-5478
NPI assigned
Jan 24, 2009
Last updated
Aug 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Charlene A Bruton
Title
Administrative Assistant
Phone
(575) 694-5748

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

415 W Hemlock St
Deming, NM 88030-3622

Mailing address

222 S Tin St
Deming, NM 88030-3645
Phone (575) 694-5478

Other practice location 1

222 S Tin St
Deming, NM 88030-3645
Phone (575) 544-0663

Other identifiers 1

IdentifierTypeStateIssuer
47181265MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1232755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1710125067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S TIN ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880303645",
            "telephone_number": "575-694-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W HEMLOCK ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880303622",
            "telephone_number": "575-694-5478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 S Tin St",
            "address_purpose": "LOCATION",
            "city": "Deming",
            "state": "NM",
            "postal_code": "880303645",
            "country_code": "US",
            "telephone_number": "575-544-0663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WINBORN WELLNESS & COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-24",
        "last_updated": "2022-08-29",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "BRUTON",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "575-694-5748"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47181265",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deming, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.