Active NPI
Anna R Futrell, LMFT
- Marriage & Family Therapist
- Chama, NM
National Provider Identifier
1720396229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0129461
- Practice address
- 551 7TH Street
Chama, NM 87520-0874 - Phone
- (575) 756-2438
- Fax
- (575) 756-2438
- NPI assigned
- Sep 17, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0129461 | NM | Primary |
| Marriage & Family Therapist | 106H00000X | 31640 | CA |
Addresses
Primary practice location
551 7TH Street
Chama, NM 87520-0874
Mailing address
PO Box 874
Chama, NM 87520-0874
Phone (575) 756-2438
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31640 | CA | MD | Marriage & Family Therapist |
| 0129461 | NM | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1720396229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 874",
"city": "CHAMA",
"state": "NM",
"postal_code": "875200874",
"telephone_number": "575-756-2438",
"fax_number": "575-756-2438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 7TH STREET",
"city": "CHAMA",
"state": "NM",
"postal_code": "875200874",
"telephone_number": "575-756-2438",
"fax_number": "575-756-2438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUTRELL",
"first_name": "ANNA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-17",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NM",
"license": "0129461",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "31640",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chama, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.