Alisha O'Donovan
Individual provider Active NPI Counselor · Rogers, NM
NPI 1871144634 · NPPES record last updated Sep 24, 2019
Key facts
- NPI
- 1871144634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- CMH0196111 (NM)
- Practice address
- 1390 S Roosevelt Road 30
Rogers, NM 88132-9724 - Phone
- (575) 602-2721
- NPI assigned
- Sep 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| CMH0196111 | NM | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CMH0196111 | NM | Yes |
Addresses
Primary practice location
1390 S Roosevelt Road 30
Rogers, NM 88132-9724
Mailing address
1390 S Roosevelt Road 30
Rogers, NM 88132-9724
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.betterhelp.com/alisha-o-donovan/ | Direct |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2019. 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.