Active NPI
William Jack Pogue, M.A.
- Professional Counselor
- Farmington, NM
National Provider Identifier
1992770242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1607
- Practice address
- 313 W Apache St
Farmington, NM 87401-5835 - Phone
- (505) 325-5321
- Fax
- (505) 325-6453
- NPI assigned
- Feb 21, 2006
- Last updated
- May 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1607 | NM | Primary |
Addresses
Primary practice location
313 W Apache St
Farmington, NM 87401-5835
Mailing address
313 W Apache St
Farmington, NM 87401-5835
Phone (505) 325-5321
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 850447796 | Other | NM | SAN JUAN IPA |
| 98965 | Other | NM | VALUE OPTIONS |
| 362 | Other | NM | MESA MENTAL HEALTH |
| 98965 | Medicaid | NM | |
| 23788 | Other | NM | PRESBYTERIAN HEALTH CARE |
| 65613 | Other | NM | CIGNA HEALTH CARE |
| R64S | Other | NM | BLUE CROSS BLUE SHIELD |
| 15483 | Other | NM | LOVELACE HEALTH CARE |
| VNM000690T | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1607 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choices Behavioral Health Services, Inc. | Current | Accepting new patients |
Locations
313 W Apache St
Farmington, NM 87401
Phone (505) 325-5321
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Choices Counseling Service
- Adolescent and Children Mental Health Clinic/Center
- Farmington, NM
- NPI 1134194483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1992770242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 W APACHE ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015835",
"telephone_number": "505-325-5321",
"fax_number": "505-325-6453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 W APACHE ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015835",
"telephone_number": "505-325-5321",
"fax_number": "505-325-6453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POGUE",
"first_name": "WILLIAM",
"middle_name": "JACK",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "1607",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAN JUAN IPA",
"identifier": "850447796",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "98965",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MESA MENTAL HEALTH",
"identifier": "362",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "98965",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH CARE",
"identifier": "23788",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH CARE",
"identifier": "65613",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "R64S",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HEALTH CARE",
"identifier": "15483",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VNM000690T",
"state": "NM"
}
],
"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 May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.