Meredith Baca, LPCC, LPC | |
360 Fog Road, Espanola, NM 87532 | |
(210) 862-1037 | |
Not Available |
Full Name | Meredith Baca |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 360 Fog Road, Espanola, 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 |
---|---|---|---|
1306242474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 68716 (Texas) | Secondary |
101YM0800X | Counselor - Mental Health | CCMH200151 (New Mexico) | Primary |
Entity Name | Elevation Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831514520 PECOS PAC ID: 6507209236 Enrollment ID: O20240208004040 |
Mailing Address | Practice Location Address |
---|---|
Meredith Baca, LPCC, LPC Po Box 1045, Ohkay Owingeh, NM 87566-1045 Ph: (210) 593-8552 | Meredith Baca, LPCC, LPC 360 Fog Road, Espanola, NM 87532 Ph: (210) 862-1037 |
Cassie Garcia, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1305 Calle De La Merced, Espanola, NM 87532 Phone: 505-747-0081 | |
Simon M Johnson, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Suite H, Espanola, NM 87532 Phone: 505-747-0081 | |
Leann A Murray, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Suite H, Espanola, NM 87532 Phone: 505-747-0081 | |
Peter H Goodwin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1114 Plaza Del Norte, Suite B, Espanola, NM 87532 Phone: 505-753-8933 Fax: 505-753-9811 | |
Ashley Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Espanola, NM 87532 Phone: 505-747-0081 | |
Sara E Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 N Riverside Dr, Espanola, NM 87532 Phone: 505-747-7400 | |
Christopher Alcala, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Espanola, NM 87532 Phone: 505-747-0081 |