Organization Active NPI

McKinley Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gallup, NM
National Provider Identifier
1811546039
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MCKINLEY COUNSELING CENTER
Practice address
406 N Second St
Gallup, NM 87301-5227
Phone
(505) 440-3078
NPI assigned
Sep 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Vanessa Ortiz, LPCC
Title
Mental Health Clinician
Phone
(505) 440-3078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

406 N Second St
Gallup, NM 87301-5227

Mailing address

406 N Second St
Gallup, NM 87301-5227
Phone (505) 440-3078

National Provider Directory

National Provider Directory

Locations

406 N Second St
Gallup, NM 87301
Phone (505) 440-3078

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1811546039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N SECOND ST",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015227",
            "telephone_number": "505-440-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N SECOND ST",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015227",
            "telephone_number": "505-440-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINLEY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "505-440-3078",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.