Gary Neal Cox
Individual provider Active NPI Mental Health Counselor · Portales, NM
NPI 1962269878 · NPPES record last updated Mar 6, 2024
Key facts
- NPI
- 1962269878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CTB-2024-0136 (NM)
- Practice address
- 321 S Avenue C
Portales, NM 88130-6253 - Phone
- (575) 760-0754
- NPI assigned
- Mar 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTB-2024-0136 | NM | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | CTB-2024-0136 | NM | Yes |
Addresses
Primary practice location
321 S Avenue C
Portales, NM 88130-6253
Mailing address
18802 Highway 87
Lubbock, TX 79423-6175
Phone (575) 495-3580
Other providers in Portales, NM
- Coronado Care Center LLC
- Blessy Coss
- County of Roosevelt
- Courageous Outcomes Therapies, LLC
- Aubrey Rose Courtney
- Taylor Rae Crabtree
- Chelse Craig
- Nicole Ashley Craig
- Sarah Cuyzon
- Prisma Davalos
All providers in Portales, NM · Mental Health Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.