Individual provider Active NPI

Beverlena Benallie, LSAA

  • Counselor
  • Farmington, NM
National Provider Identifier
1770088825
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CTB20220871 Issued in NM
Practice address
653 W Arrington St
Farmington, NM 87401-8513
Phone
(505) 564-3733
NPI assigned
Mar 29, 2018
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CTB20220871 NM Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU

Addresses

Primary practice location

653 W Arrington St
Farmington, NM 87401-8513

Mailing address

653 W Arrington St
Farmington, NM 87401-8513
Phone (505) 564-3733

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

LicenseStateTypeSpecialty
CTB20220871NMMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cottonwood Clinical Services, Inc. Addiction (Substance Use Disorder) CurrentSince Jun 16, 2024 Accepting new patients
Cottonwood Clinical Services, Inc. PastSince Feb 26, 2023 Accepting new patients

Locations

228 N Schwartz Ave
Farmington, NM 87401
Phone (505) 325-8881

650 W Main St
Farmington, NM 87401
Phone (505) 564-3733

653 W Arrington St
Farmington, NM 87401
Phone (505) 564-3733

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1770088825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 W ARRINGTON ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018513",
            "telephone_number": "505-564-3733",
            "fax_number": "505-564-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 W ARRINGTON ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018513",
            "telephone_number": "505-564-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENALLIE",
        "first_name": "BEVERLENA",
        "credential": "LSAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "CTB20220871",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.