NPIMap

Organization Active NPI

DJ2 Junctions Inc

  • Mental Health Counselor
  • Clovis, NM
National Provider Identifier
1730486168
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0144951 Issued in NM
Legal business name
DJ2 JUNCTIONS INC
Practice address
1200 N Thornton St Ste J
Clovis, NM 88101-5508
Phone
(575) 935-8522
NPI assigned
Feb 21, 2011
Last updated
Feb 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Della Dawn Garlitz-Bedingfield
Title
Ceo/President
Phone
(575) 935-8522

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0144951 NM
Addiction (Substance Use Disorder) Counselor 101YA0400X 0148831 NM
Mental Health Counselor 101YM0800X 0170731 NM
Mental Health Counselor 101YM0800X 0144951 NM Primary
Professional Counselor 101YP2500X 0144951 NM

Addresses

Primary practice location

1200 N Thornton St Ste J
Clovis, NM 88101-5508

Mailing address

1200 N Thornton St Ste J
Clovis, NM 88101-5508
Phone (575) 935-8522

Other identifiers 2

IdentifierTypeStateIssuer
51206544MedicaidNM
357783771MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
DJ2 Junctions Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 N Thornton St
Ste J
Clovis, NM 88101
Phone (575) 935-8522

Practitioners & affiliated clinicians

Practitioners 5

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": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1730486168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N THORNTON ST STE J",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015508",
            "telephone_number": "575-935-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N THORNTON ST STE J",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015508",
            "telephone_number": "575-935-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJ2 JUNCTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "GARLITZ-BEDINGFIELD",
        "authorized_official_first_name": "DELLA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "575-935-8522"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0144951",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0148831",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0170731",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0144951",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0144951",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51206544",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357783771",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.