MELISSA L FAGAN LMHC - NPI 1235210543 - Counselor in Albuquerque, NM

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Melissa L Fagan Lmhc NPPES

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

MELISSA L FAGAN LMHC (NPI 1235210543) is an individual professional provider in Albuquerque, New Mexico, licensed in New Mexico (0184771) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235210543

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMELISSA L FAGANCredential: LMHC

Location Address3901 LOUISIANA BLVD NE STE CAlbuquerque, NM 87110-1448

Mailing Address3901 Louisiana Blvd Ne Ste CAlbuquerque, NM 87110-1448 · (505) 888-1686 · Fax (505) 888-1683

Phone(505) 888-1686

Fax(505) 888-1683

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateApril 21, 20172 updates tracked since enumeration

✔ NPI 1235210543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NM · 0184771

3901 LOUISIANA BLVD NE STE C, Albuquerque, NM 87110

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Other Identifiers 1

Medicaid64079775NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa L Fagan Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

MS. DEBORAH S LOSADA LMFT

Marriage & Family Therapist