Individual provider Active NPI

Marie M. Tsosie, B.S., LADAC

  • Addiction (Substance Use Disorder) Counselor
  • Shiprock, NM
National Provider Identifier
1952518730
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0132221 Issued in NM
Practice address
Hwy 491 N., Pinon St.
Shiprock, NM 87420-1830
Phone
(505) 368-1437
Fax
(505) 368-1452
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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 0132221 NM Primary

Addresses

Primary practice location

Hwy 491 N., Pinon St.
Shiprock, NM 87420-1830

Mailing address

P.O. Box 1830
Navajo Regional Behavioral Health Center
Shiprock, NM 87420-1830
Phone (505) 368-1437

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
0132221NMMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1952518730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1830",
            "address_2": "NAVAJO REGIONAL BEHAVIORAL HEALTH CENTER",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874201830",
            "telephone_number": "505-368-1437",
            "fax_number": "505-368-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 491 N., PINON ST.",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874201830",
            "telephone_number": "505-368-1437",
            "fax_number": "505-368-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSOSIE",
        "first_name": "MARIE",
        "middle_name": "M.",
        "credential": "B.S., LADAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0132221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiprock, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.