| Counseling Center, Inc. | |
|
1900 10th St Alamogordo NM 88310-5053 | |
| (575) 488-2500 | |
| (575) 488-2502 |
| Full Name | Counseling Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1900 10th St, Alamogordo, New Mexico |
| Authorized Official Name and Position | Loren E Jackson (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5754882500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Center, Inc. 1900 10th St Alamogordo NM 88310-5053 Ph: (575) 488-2500 | Counseling Center, Inc. 1900 10th St Alamogordo NM 88310-5053 Ph: (575) 488-2500 |
| NPI Number | 1225043904 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 07/07/2022 |
| Certification Date | 06/23/2021 |
| Medicare PECOS PAC ID | 6507858461 |
|---|---|
| Medicare Enrollment ID | O20040331001141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225043904 | NPI | - | NPPES |
| 67782868 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 3040B1 (New Mexico) | Primary |
| Provider Name | Ernest Flores |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154353183 PECOS PAC ID: 4486616554 Enrollment ID: I20051110000163 |
| Provider Name | Mark E Ovrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871730879 PECOS PAC ID: 5991837361 Enrollment ID: I20100720001014 |
| Provider Name | Howard E Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487754263 PECOS PAC ID: 6709027956 Enrollment ID: I20130730000880 |
| Provider Name | Lee Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326379827 PECOS PAC ID: 7810385721 Enrollment ID: I20211026003061 |
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