At Home Geriatric Counseling and Consultation

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

I-06926 Issued in NM

Legal business name

AT HOME GERIATRIC COUNSELING AND CONSULTATION

Practice address

25 Camino Collado
Edgewood, NM 87015-9788

Phone

(505) 710-4278

Fax

(505) 407-4848

NPI assigned

Sep 10, 2012

Last updated

Sep 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roxroy Anthony Reid, LISWNPI 1174829170

Title

Owner

Phone

(505) 710-4278

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roxroy Anthony Reid, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1174829170
  NPD (past) Authorized official

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1891044517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CAMINO COLLADO",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870159788",
            "telephone_number": "505-710-4278",
            "fax_number": "505-407-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CAMINO COLLADO",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870159788",
            "telephone_number": "505-710-4278",
            "fax_number": "505-407-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME GERIATRIC COUNSELING AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "ROXROY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-710-4278",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": "I-06926",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Alvis, R.PH.
• Annajita Anderson, PHARMD
• Robert Andrews Jr., RPH
• Jolene Alisandra Aragon-Rosales, D.C.
• Kirsten Asbury, OTR/L
• Cynthia Batie, RPH
• Faith Beck, M.A, L.P.C.C.
• Elizabeth Bennett
• Liza Black
• Thomas Black, NP

• Case Management Agency in Edgewood, NM
• Providers in Edgewood, NM by specialty
• Case Management Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.