Active NPI
Tex W Anderson Jr., TRADITIONAL PRACTITI
- Counselor
- Crownpoint, NM
National Provider Identifier
1811280704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2314 Southwest Highland Drive
Crownpoint, NM 87313 - Phone
- (505) 786-2111
- Fax
- (505) 786-2020
- NPI assigned
- May 25, 2011
- Last updated
- Jul 31, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NM | Primary |
Addresses
Primary practice location
2314 Southwest Highland Drive
Crownpoint, NM 87313
Mailing address
PO Box 1144
Crownpoint, NM 87313-1144
Phone (505) 786-2111
Other practice location 1
.5 miles off HWY 371
Thoreau, NM 87323-1289
Phone (505) 905-0061
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Navajo Nation Crownpoint Outpatient Treatment Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Crownpoint, NM
- NPI 1831397488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1811280704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1144",
"city": "CROWNPOINT",
"state": "NM",
"postal_code": "873131144",
"telephone_number": "505-786-2111",
"fax_number": "505-786-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2314 SOUTHWEST HIGHLAND DRIVE",
"city": "CROWNPOINT",
"state": "NM",
"postal_code": "87313",
"telephone_number": "505-786-2111",
"fax_number": "505-786-2020"
}
],
"practiceLocations": [
{
"address_1": ".5 miles off HWY 371",
"address_purpose": "LOCATION",
"city": "Thoreau",
"state": "NM",
"postal_code": "873231289",
"country_code": "US",
"telephone_number": "505-905-0061",
"fax_number": "505-905-0064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "TEX",
"middle_name": "W",
"name_suffix": "Jr.",
"credential": "TRADITIONAL PRACTITI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-25",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crownpoint, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.