Second Chance Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5211247 Issued in NM

Legal business name

SECOND CHANCE COUNSELING, LLC

Practice address

719 W Apache St
Farmington, NM 87401-5512

Phone

(505) 427-1621

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Alisha Kathryn Hawthorne, LCSW, LADAC

Title

Ceo

Phone

(505) 427-1621

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1922455609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015512",
            "telephone_number": "505-427-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015512",
            "telephone_number": "505-427-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "HAWTHORNE",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-427-1621",
        "authorized_official_credential": "LCSW, LADAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "5211247",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "5211247",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "5211247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott D Allen MD & Associates PC
• Bill H Scott, PTA
• Carol A Scott, CCC-SLP
• Ethan Walter Scott, M.D.
• Diane W Searle, RNSFA
• Seek & Find Balance Behavioral Health LLC
• Stanton Roach Seewald, DDS
• David Seiter
• Select Physical Therapy Holdings Inc
• Select Physical Therapy Holdings Inc

• Clinical Social Worker in Farmington, NM
• Providers in Farmington, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.