EMILY FOSSUM LPCC
NPI 1528501079
Counselor - Professional in Espanola, NM
- Individual
- Female
- Counselor
- Professional
- PECOS Enrolled
About EMILY FOSSUM
This page provides the complete NPI Profile along with additional information for Emily Fossum, a provider established in Espanola, New Mexico with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1528501079 assigned on November 2016. The practitioner's primary taxonomy code is 101YP2500X with license number CCMH0224041 (NM). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1528501079 Verify this NPI
- Provider Name
- EMILY FOSSUM LPCC
- Other Name
- EMILY MARIA RAFFEL L.P.C.C.
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 835 SPRUCE ST STE C&D ESPANOLA, NM 87532
- Location Phone
- (505) 747-7400
- Location Fax
- (505) 747-7403
- Mailing Address
- 835 SPRUCE ST STE C&D ESPANOLA, NM 87532
- Mailing Phone
- (505) 747-7400
- Mailing Fax
- (505) 747-7403
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-30-2016
- Last Update Date
- 04-25-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- CCMH0224041
- License State
- NM
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | CC01318 (MN) |
| 2 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor |
Medicare Participation & PECOS Enrollment Status
Emily Fossum is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for EMILY FOSSUM LPCC
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
ESPANOLA, NM 87532
ESPANOLA, NM 87532
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528501079, enumerated as an "individual" on November 30, 2016.
The provider is located at 835 SPRUCE ST STE C&D ESPANOLA, NM 87532 and the phone number is (505) 747-7400.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
