Lisa Dykes-Harrell, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005790 Issued in NM

Legal business name

LISA DYKES-HARRELL, LLC

Practice address

100 S Ave a
Portales, NM 88130-5917

Phone

(575) 749-3736

Fax

(575) 226-6892

NPI assigned

Mar 8, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Lisa L. Dykes-Harrell, LPCC

Title

Counselor

Phone

(575) 749-3736

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1881992311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 NM 88",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "88130",
            "telephone_number": "575-749-3736",
            "fax_number": "575-226-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S AVE A",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881305917",
            "telephone_number": "575-749-3736",
            "fax_number": "575-226-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA DYKES-HARRELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "DYKES-HARRELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "575-749-3736",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "005790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04850041",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11783765",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROPRIETER NPI 1316956923",
            "identifier": "1316956923",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Barbara Carlisle Leaphart, M.S.CCC-SLP
• Ximena Licano
• Krishna K Lingala, MD
• Little Voices Speech Therapy LLC
• Jennifer Machelle Lockwood, MA LPCC
• Rebecca Lea Lodato
• Emily B Logsdon, YCS
• Dennis Lopez, BA

• Mental Health Counselor in Portales, NM
• Providers in Portales, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.