Elizabeth Applegate

Individual provider Active NPI Mental Health Counselor · Bloomfield, NM

NPI 1912658873 · NPPES record last updated Jan 12, 2022

Key facts

NPI
1912658873
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
101 E Broadway Ave
Bloomfield, NM 87413-6235
Phone
(505) 330-8220
NPI assigned
Jan 12, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Angel Peak Counseling, LLC Mental Health Current
since Jan 21, 2022
Accepting new patients
Sadie L Smith-McDaniel Mental Health Current
since Jan 21, 2022
Accepting new patients

Locations

101 E Broadway Ave
Bloomfield, NM 87413
Phone (505) 330-8220

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

101 E Broadway Ave
Bloomfield, NM 87413-6235

Mailing address

101 E Broadway Ave
Bloomfield, NM 87413-6235

Other providers in Bloomfield, NM

All providers in Bloomfield, NM · Mental Health Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.