Nueva Vida Counseling and Consulting Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C-4248 Issued in NM

Legal business name

NUEVA VIDA COUNSELING AND CONSULTING SERVICES LLC

Practice address

Nueva Vida Counseling & Consulting Services LLC
1920 7TH Street
Las Vegas, NM 87701

Phone

(505) 429-0905

Fax

(505) 425-2913

NPI assigned

Jun 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. John Michael Tourangeau, LADAC, LCSW, PHD

Title

Owner & Mental Health Practitioner

Phone

(505) 429-0905

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1851884423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NUEVA VIDA COUNSELING & CONSULTING SERVICES LLC",
            "address_2": "1920 7TH STREET",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "87701",
            "telephone_number": "505-429-0905",
            "fax_number": "505-425-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NUEVA VIDA COUNSELING & CONSULTING SERVICES LLC",
            "address_2": "1920 7TH STREET",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "87701",
            "telephone_number": "505-429-0905",
            "fax_number": "505-425-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUEVA VIDA COUNSELING AND CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "TOURANGEAU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER & MENTAL HEALTH PRACTITIONER",
        "authorized_official_telephone_number": "505-429-0905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LADAC, LCSW, PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "C-4248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49084364",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.