NPIMap

Organization Active NPI

Overcomers Counseling, LLC

  • Community/Behavioral Health Agency
  • Farmington, NM
National Provider Identifier
1891161949
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
15-00002011 Issued in NM
Legal business name
OVERCOMERS COUNSELING, LLC
Practice address
475 East 20TH Street
Farmington, NM 87401
Phone
(505) 327-0293
Fax
(505) 564-4925
NPI assigned
Aug 12, 2015
Last updated
Oct 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Authorized official

Name
Mr. Anthony Patrick VelardeNPI 1538879721
Title
Assistant Director
Phone
(505) 327-0293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 15-00002011 NM Primary

Addresses

Primary practice location

475 East 20TH Street
Farmington, NM 87401

Mailing address

475 East 20TH Street
Farmington, NM 87401
Phone (505) 327-0293

National Provider Directory

National Provider Directory

Locations

475 E 20th St
Farmington, NM 87401
Phone (505) 327-0293

501 Airport Dr
Farmington, NM 87401
Phone (505) 325-2778

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1891161949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 EAST 20TH STREET",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-327-0293",
            "fax_number": "505-564-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 EAST 20TH STREET",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-327-0293",
            "fax_number": "505-564-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERCOMERS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "VELARDE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "505-327-0293",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "15-00002011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.