John Stan Espinoza, LADAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Taos, NM
NPI 1861686511 · NPPES record last updated Sep 5, 2007
Key facts
- NPI
- 1861686511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 0073521 (NM)
- Practice address
- 413 Sipapu Road
Taos, NM 87571 - Phone
- (505) 758-5857
- NPI assigned
- Sep 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0073521 | NM | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Community Services, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0073521 | NM | Yes |
Addresses
Primary practice location
413 Sipapu Road
Taos, NM 87571
Mailing address
PO Box 1214
Taos, NM 87571-1214
Phone (505) 737-5533
Other providers in Taos, NM
- Travis Ely
- Melinda Encinias-Leyba
- Delores Anne Endres
- Alicia B Esparza
- Aspen Flowers Espinosa
- Estrella Esquibel
- Cristian Estrada
- Necia M. Ethridge
- Brenda Euwer
- Tilghman B Evans
All providers in Taos, NM · Addiction (Substance Use Disorder) Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.