Edward Procopio Alonzo, LSAA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CTB-2022-0709 Issued in NM

Practice address

2028 E Aztec Ave
Gallup, NM 87301-4804

Phone

(505) 413-3447

NPI assigned

Mar 31, 2025

Last updated

Mar 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Edward Procopio Alonzo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1720881972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 E AZTEC AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014804",
            "telephone_number": "505-488-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 E AZTEC AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014804",
            "telephone_number": "505-413-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONZO",
        "first_name": "EDWARD",
        "middle_name": "PROCOPIO",
        "credential": "LSAA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CTB-2022-0709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "ALONZO",
            "middle_name": "PROCOPIO",
            "credential": "LSAA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Myriam Allen, OTR.
• Robert D. Allen, RN
• Tami Allison, RN
• Lorraine Mary Almo, RN
• Alisha Alonzo, RN
• Shaquetta Aloway
• Nooreddeen Alsadi
• Michele Alteveer, RN
• Melissa Rene Alvarado, RN
• Gilberto Alvarez-Colon, M.D.

• Addiction (Substance Use Disorder) Counselor in Gallup, NM
• Providers in Gallup, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.