Active NPI
Rick J Quevedo
- Mental Health Counselor
- Farmington, NM
National Provider Identifier
1962025882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 6100 E Main St
Farmington, NM 87402-3034 - Phone
- (505) 947-4471
- NPI assigned
- May 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NM | Primary |
Addresses
Primary practice location
6100 E Main St
Farmington, NM 87402-3034
Mailing address
6100 E Main St
Farmington, NM 87402-3034
Phone (505) 947-4471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 850431989 | Medicaid | NM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | WWW.MYDESERTVIEW.ORG | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert View, Inc. | Mental Health | Current | Accepting new patients |
Locations
6100 E Main St
Farmington, NM 87402
Phone (505) 326-7878
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1962025882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 E MAIN ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874023034",
"telephone_number": "505-947-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 E MAIN ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874023034",
"telephone_number": "505-947-4471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEVEDO",
"first_name": "RICK",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-27",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "850431989",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "WWW.MYDESERTVIEW.ORG",
"affiliation": "N",
"endpointDescription": "WEBSITE",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "RICK@MYDESERTVIEW.ORG",
"address_1": "6100 E Main St",
"city": "Farmington",
"state": "NM",
"country_code": "US",
"postal_code": "874023034",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 27, 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.