Margarita Silva Potts, L.P.C.C.
Individual provider Active NPI Professional Counselor · Bayard, NM
NPI 1962736215 · NPPES record last updated Feb 19, 2010
Key facts
- NPI
- 1962736215
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0101621 (NM)
- Practice address
- 807 Grant St.
Bayard, NM 88023 - Phone
- (575) 590-2202
- NPI assigned
- Sep 18, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 6401002991 | MI | MD | Professional Counselor |
| 0101621 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luna de Cobre Therapy Center, LLC | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0101621 | NM | Yes |
| Professional Counselor | 101YP2500X | 6401002991 | MI |
Addresses
Primary practice location
807 Grant St.
Bayard, NM 88023
Mailing address
PO Box 1003
Bayard, NM 88023-1003
Phone (575) 590-2202
Other providers in Bayard, NM
- Julie Peru
- Heather Robinson
- Debra D. Rodriguez
- Melinda Rosa
- Jane N Seavers
- Amy J Trujillo
- Ana Luisa Vasquez-Kishbaugh
- Diane P. Vaughn
All providers in Bayard, NM · Professional 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 Feb 19, 2010. 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.