Organization Active NPI

Oak Tree Counseling & Wellness, LLC

  • Professional Counselor
  • Grants, NM
National Provider Identifier
1760049407
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
OAK TREE COUNSELING & WELLNESS, LLC
Practice address
310 W High St Ste F
Grants, NM 87020-2566
Phone
(505) 658-0052
Fax
(505) 565-7712
NPI assigned
May 28, 2019
Last updated
May 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Authorized official

Name
Mrs. Annessa Marie Valdez Simpkins, LPCCNPI 1851717730
Title
Managing Member/BH Provider
Phone
(505) 658-0052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

310 W High St Ste F
Grants, NM 87020-2566

Mailing address

60025 Cantina Acres
Grants, NM 87020-9644
Phone (505) 658-0052

National Provider Directory

National Provider Directory

Locations

310 W High St
Ste F
Grants, NM 87020
Phone (505) 658-0052

Practitioners & affiliated clinicians

Practitioners 1

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": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1760049407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60025 CANTINA ACRES",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870209644",
            "telephone_number": "505-658-0052",
            "fax_number": "505-565-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W HIGH ST STE F",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202566",
            "telephone_number": "505-658-0052",
            "fax_number": "505-565-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "VALDEZ SIMPKINS",
        "authorized_official_first_name": "ANNESSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGING MEMBER/BH PROVIDER",
        "authorized_official_telephone_number": "505-658-0052",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.