Robinson Tom, COUNSELOR
Individual provider Active NPI Counselor · Thoreau, NM
NPI 1710270798 · NPPES record last updated May 24, 2011
Key facts
- NPI
- 1710270798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- .5 Miles Off Hwy371
.5 Miles Off Hwy371
Thoreau, NM 87323-1289 - Phone
- (505) 905-0061
- Fax
- (505) 905-0064
- NPI assigned
- May 24, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NM | Yes |
Addresses
Primary practice location
.5 Miles Off Hwy371
.5 Miles Off Hwy371
Thoreau, NM 87323-1289
Mailing address
PO Box 1289
Thoreau, NM 87323-1289
Phone (505) 905-0061
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 860092335 | Other | NM | BEHAVIORAL HEALTH SERVICE |
Other providers in Thoreau, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.