MADISON PARIS WIMBISH CPSW, CCSS, LSAA
NPI 1114763422
Peer Specialist in Farmington, NM

Active since July 05, 2024
1001 W BROADWAY, FARMINGTON, NM 87401(505) 327-4796 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, Jun 9, 2025, Jul 5, 2024 (3 updates tracked since 2024).

About Madison Paris Wimbish Cpsw, Ccss, Lsaa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON PARIS WIMBISH CPSW, CCSS, LSAA (NPI 1114763422) is an individual peer specialist in Farmington, New Mexico, licensed in New Mexico (1750) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1114763422
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMADISON PARIS WIMBISHCredential: CPSW, CCSS, LSAA
Location Address1001 W BROADWAYFarmington, NM 87401-5638
Mailing Address1001 W BroadwayFarmington, NM 87401-5638 · (505) 327-4796 · Fax (505) 443-8335
Sole ProprietorNo
Enumeration DateJuly 5, 2024
Last NPPES UpdateJune 8, 20263 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1114763422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in NM · 1750
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CTB-2026-0011 (NM)
Also ListedCommunity Health WorkerTaxonomy 172V00000X · License 07262024 (NM)
1001 W BROADWAY, Farmington, NM 87401

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1001 W BROADWAY
FARMINGTON, NM 87401
Dental Hygienist
1001 W BROADWAY
FARMINGTON, NM 87401
Nurse Practitioner (Gerontology)
1001 W BROADWAY
FARMINGTON, NM 87401
Clinic/Center
1001 W BROADWAY
FARMINGTON, NM 87401
Counselor (Addiction (Substance Use Disorder))
1001 W BROADWAY
FARMINGTON, NM 87401
Counselor (Mental Health)
1001 W BROADWAY, SUITE D
FARMINGTON, NM 87401
Behavior Analyst
1001 W BROADWAY
FARMINGTON, NM 87401
Counselor (Professional)
1001 W BROADWAY, D & E
FARMINGTON, NM 87401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Wimbish's NPI number?

The NPI number for Madison Wimbish is 1114763422. It was assigned to this individual provider in the NPPES registry on July 5, 2024.

Where is Madison Wimbish located?

Madison Wimbish practices at 1001 W Broadway, Farmington, NM 87401. The listed phone number is (505) 327-4796.

What is Madison Wimbish's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Madison Wimbish was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.