Individual provider Active NPI

Ellen Marie Vega, LSAA

  • Addiction (Substance Use Disorder) Counselor
  • Deming, NM
National Provider Identifier
1922812692
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CTB-2025-0038 Issued in NM
Practice address
101 S Copper St
Deming, NM 88030-3610
Phone
(575) 590-8886
Fax
(575) 546-4362
NPI assigned
Feb 4, 2025
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CTB-2025-0038 NM Primary

Addresses

Primary practice location

101 S Copper St
Deming, NM 88030-3610

Mailing address

1311 N Grant St Ste a
Silver City, NM 88061-5134
Phone (575) 388-1447

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CTB-2025-0038NMMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery and Resiliency Services Addiction (Substance Use Disorder) CurrentSince Feb 9, 2025 Accepting new patients
Recovery Management Center, PC Addiction (Substance Use Disorder) CurrentSince Feb 9, 2025 Accepting new patients

Locations

101 S Copper St
Deming, NM 88030
Phone (575) 590-8886

603 Hadeco Dr
Lordsburg, NM 88045
Phone (575) 542-3539

1311 N Grant St
Ste A
Silver City, NM 88061
Phone (575) 388-1447

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1922812692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N GRANT ST STE A",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615134",
            "telephone_number": "575-388-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S COPPER ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880303610",
            "telephone_number": "575-590-8886",
            "fax_number": "575-546-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "credential": "LSAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CTB-2025-0038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deming, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.