NPIMap

Organization Active NPI

Kids Counseling, Inc

  • Clinical Social Worker
  • Mora, NM
National Provider Identifier
1750715645
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-05483 Issued in NM
Legal business name
KIDS COUNSELING, INC
Practice address
291 State Highway 434
Mora, NM 87732-0291
Phone
(575) 642-8046
NPI assigned
Aug 27, 2013
Last updated
Aug 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Breena TafoyaNPI 1851439475
Title
Ceo / Owner
Phone
(575) 642-8046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-05483 NM Primary

Addresses

Primary practice location

291 State Highway 434
Mora, NM 87732-0291

Mailing address

PO Box 84
Mora, NM 87732-0084
Phone (575) 642-8046

National Provider Directory

National Provider Directory

Locations

2528 Ridge Runner Rd
Las Vegas, NM 87701
Phone (505) 425-2622

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1750715645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "MORA",
            "state": "NM",
            "postal_code": "877320084",
            "telephone_number": "575-642-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 STATE HIGHWAY 434",
            "city": "MORA",
            "state": "NM",
            "postal_code": "877320291",
            "telephone_number": "575-642-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "TAFOYA",
        "authorized_official_first_name": "BREENA",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "575-642-8046"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-05483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mora, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.