Individual provider Active NPI

William Jack Pogue, M.A.

  • Professional Counselor
  • Farmington, NM
National Provider Identifier
1992770242
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1607 Issued in NM
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
850447796OtherNMSAN JUAN IPA
98965OtherNMVALUE OPTIONS
362OtherNMMESA MENTAL HEALTH
98965MedicaidNM
23788OtherNMPRESBYTERIAN HEALTH CARE
65613OtherNMCIGNA HEALTH CARE
R64SOtherNMBLUE CROSS BLUE SHIELD
15483OtherNMLOVELACE HEALTH CARE
VNM000690TMedicaidNM

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

LicenseStateTypeSpecialty
1607NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.