Kara Rachelle Bible
Individual provider Active NPI Counselor · Clovis, NM
NPI 1972891307 · NPPES record last updated Mar 17, 2015
Key facts
- NPI
- 1972891307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 0162791 (NM)
- Practice address
- 1621 Sutter Place
Clovis, NM 88101 - Phone
- (579) 935-2345
- NPI assigned
- Jul 19, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0162791 | NM | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Counselor | 101Y00000X | 0162791 | NM | Yes |
Addresses
Primary practice location
1621 Sutter Place
Clovis, NM 88101
Mailing address
1100 West 21St
Clovis, NM 88101
Phone (575) 769-2345
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2015. 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.