NPIMap

Organization Active NPI

Atb Behavioral Health Services, PC

  • Counselor
  • Farmington, NM
National Provider Identifier
1982147187
Registry record updated Sep 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0179081 Issued in NM
Legal business name
ATB BEHAVIORAL HEALTH SERVICES, PC
Practice address
721 W Apache St
Farmington, NM 87401-5512
Phone
(970) 946-5173
Fax
(505) 787-2174
NPI assigned
Nov 21, 2016
Last updated
Sep 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amber Layton, LPCCNPI 1568883528
Title
Clinical Counselor
Phone
(505) 947-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 0179081 NM Primary

Addresses

Primary practice location

721 W Apache St
Farmington, NM 87401-5512

Mailing address

711 Maraboots Cir
Aztec, NM 87410-2080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231116001641 NM Part B Supplier - Clinic/Group Practice 9537516331 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, NM

National Provider Directory

National Provider Directory

Locations

101 S Locke Ave
Ste 202
Farmington, NM 87401
Phone (505) 382-5333

5600 Mickey Dr
Farmington, NM 87402
Phone (505) 947-9990

5600 Mickey Dr
Ste C
Farmington, NM 87402
Phone (505) 947-9990

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506038400000",
    "number": "1982147187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 MARABOOTS CIR",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874102080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015512",
            "telephone_number": "970-946-5173",
            "fax_number": "505-787-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATB BEHAVIORAL HEALTH SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2017-09-22",
        "status": "A",
        "authorized_official_last_name": "LAYTON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "505-947-9990",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NM",
            "license": "0179081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.