Individual provider Active NPI

Gilbert Morales Jr., LADAC

  • Addiction (Substance Use Disorder) Counselor
  • Las Cruces, NM
National Provider Identifier
1871816629
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0130291 Issued in NM
Practice address
251 N Roadrunner Pkwy Apt 2404
Las Cruces, NM 88011-7040
Phone
(575) 520-5175
NPI assigned
Mar 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0130291 NM Primary

Addresses

Primary practice location

251 N Roadrunner Pkwy Apt 2404
Las Cruces, NM 88011-7040

Mailing address

251 N Roadrunner Pkwy Apt 2404
Las Cruces, NM 88011-7040
Phone (575) 520-5175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0130291NMMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1871816629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N ROADRUNNER PKWY APT 2404",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117040",
            "telephone_number": "575-520-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N ROADRUNNER PKWY APT 2404",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117040",
            "telephone_number": "575-520-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "GILBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LADAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0130291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.