Joan Brumage, LISW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

I05349 Issued in NM

Practice address

1213 Michigan Ave
Alamogordo, NM 88310-6725

Phone

(575) 921-1616

Fax

(575) 434-3253

NPI assigned

Jun 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1780629063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-307-6630",
            "fax_number": "405-307-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 MICHIGAN AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106725",
            "telephone_number": "575-921-1616",
            "fax_number": "575-434-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMAGE",
        "first_name": "JOAN",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "I05349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67659721",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeannette Brooks, RN
• Brookwood Home Health
• Christina Brown
• Richard A Brown, NP-C
• Stephanie Sharon Brown, NP-C
• Celestina Brunetti, MBA, RDN, LD
• Alliya Bryant
• Amanda Bryant
• Joan Bryant, DO
• Desarae Nicole Buchanan

• Mental Health Counselor in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.