Atb Behavioral Health Services, PC
Organization Active NPI Counselor · Farmington, NM
NPI 1982147187 · NPPES record last updated Sep 22, 2017
Key facts
- NPI
- 1982147187
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Counselor 101Y00000X
- License
- 0179081 (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
- Organization subpart
- No
Authorized official
- Name
- Amber Layton, LPCC
- Title
- Clinical Counselor
- Phone
- (505) 947-9990
Practitioners 7
-
Amber Layton, PHD
-
Yael Oliva, LCSW
-
Cathy B Poe, PMHNP-BC
-
Brent Schrader, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231116001641 | NM | Part B Supplier - Clinic/Group Practice | 9537516331 |
Receives reassigned benefits from 1 practitioner Practice locations: Farmington, NM |
National Provider Directory
Locations
721 W Apache St
Farmington, NM 87401
Phone (505) 427-0401
5600 Mickey Dr
Ste C
Farmington, NM 87402
Phone (505) 947-9990
5600 Mickey Dr
Farmington, NM 87402
Phone (505) 947-9990
101 S Locke Ave
Ste 202
Farmington, NM 87401
Phone (505) 382-5333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | 0179081 | NM | Yes |
Addresses
Primary practice location
721 W Apache St
Farmington, NM 87401-5512
Mailing address
711 Maraboots Cir
Aztec, NM 87410-2080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518208701 | Medicaid | NM | |
| 58635815 | Medicaid | NM | |
| 1568883528 | Medicaid | NM | |
| 1912166844 | Medicaid | NM |
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.