Mark Anthony Silla, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010371 Issued in NM

Practice address

6276 Terrell Dr
Tucumcari, NM 88401-9547

Phone

(505) 708-0033

NPI assigned

Mar 26, 2007

Last updated

Nov 2, 2012By the provider in NPPES

Sex

Male

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

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sandia Therapy and Wellness Center

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1588320576
  Medicare reassignment NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1851419121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 833",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884010833",
            "telephone_number": "575-708-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 TERRELL DR",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884019547",
            "telephone_number": "505-708-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLA",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "010371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18851419121",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicky Monica Sandoval, ASSOCIATE SOCIAL WOR
• Sandy, Inc.
• Johnnie Marie Santos, BS
• Abel Sena
• Ethel Shaw
• Linda L. Sims, FNP-C
• Tara Louise Singleterry
• Pamela G Slater, LCSW
• Sundra Span
• Valerie Spencer, CFNP

• Mental Health Counselor in Tucumcari, NM
• Providers in Tucumcari, 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 Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.