| James Joseph Padilla, | |
|
1200 N Thornton St, Clovis, NM 88101-5508 | |
| (575) 935-4411 | |
| Not Available |
| Full Name | James Joseph Padilla |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1200 N Thornton St, Clovis, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639711260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAD0214411 (New Mexico) | Secondary |
| 101YM0800X | Counselor - Mental Health | CTB-2025-0030 (New Mexico) | Primary |
| Entity Name | Agape Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245955111 PECOS PAC ID: 7810337151 Enrollment ID: O20240502003394 |
| Mailing Address | Practice Location Address |
|---|---|
| James Joseph Padilla, 312 Pine St, Clovis, NM 88101-8452 Ph: (575) 914-3465 | James Joseph Padilla, 1200 N Thornton St, Clovis, NM 88101-5508 Ph: (575) 935-4411 |
Selina Lucero, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Janice Coffman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Bennie Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 505-471-5006 Fax: 505-820-9220 | |
Dustin D Lawson, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Felisha Gumbrecht, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Spurgeon D Weaver, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Kathy J Perales, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 |