Timothy W. Basha, LADAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0147651 Issued in NM

Practice address

1613 Juniper Dr.
Alamogordo, NM 88310

Phone

(575) 495-8098

Fax

(866) 521-8354

NPI assigned

Apr 17, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1851788798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1088",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883111088",
            "telephone_number": "575-495-8098",
            "fax_number": "866-521-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 JUNIPER DR.",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "88310",
            "telephone_number": "575-495-8098",
            "fax_number": "866-521-8354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 32nd Street Byp",
            "address_purpose": "LOCATION",
            "city": "Silver City",
            "state": "NM",
            "postal_code": "880617802",
            "country_code": "US",
            "telephone_number": "575-597-2650",
            "fax_number": "575-597-2651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHA",
        "first_name": "TIMOTHY",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "LADAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-17",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0147651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivey Michelle Barr, RBT
• Gloria Barreto Hidrogo
• Tiffany Barreto
• Aryn Barros
• Jacklinn Barton
• Larry Hugh Batty, M.D.
• Teresa Baxter
• Adrian Bayer
• Bryan Beal
• Melissa Bearden

• Addiction (Substance Use Disorder) Counselor in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.