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FAE M EPALOOSE LPCC
NPI 1841460664
Counselor - Professional in Gallup, NM

Active since March 07, 2008PECOS EnrolledAccepts Medicare Assignment
2025 E AZTEC AVE, GALLUP, NM 87301(505) 633-8288(505) 443-4345 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fae M Epaloose Lpcc NPPES

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

FAE M EPALOOSE LPCC (NPI 1841460664) is an individual professional provider in Gallup, New Mexico, licensed in New Mexico (CCMH0135721) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1841460664
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameFAE M EPALOOSECredential: LPCC
Location Address2025 E AZTEC AVEGallup, NM 87301-4803
Mailing Address2025 E Aztec AveGallup, NM 87301-4803 · (058) 633-8285 · Fax (505) 443-4345
Phone(505) 633-8288
Fax(505) 443-4345
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 7, 2008
Last NPPES UpdateMay 14, 2024
NPPES CertifiedMay 14, 2024
✔ NPI 1841460664 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 · CCMH0135721
2025 E AZTEC AVE, Gallup, NM 87301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fae M Epaloose Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769904259
PECOS Enrollment IDI20250313001543
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.

Medicare Billing Reassignment

Medicare enrollment records show Fae Epaloose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Presbyterian Medical Services
115 mi
Federally Qualified Health Center (FQHC)
184 UNSER BLVD
Rio Rancho, NM 87124
  • Reassigned Medicare billing, New Mexico enrollment
  • 322 clinicians in this Medicare group
NPI 1871505032 (505) 896-0928

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TAMMY TSOSIE LPCC
Counselor (Professional)
2025 E AZTEC AVE
GALLUP, NM 87301
McKinley County (505) 863-3828
TRISTAN GLENN KELLER LISW
Social Worker (Clinical)
2025 E AZTEC AVE
GALLUP, NM 87301
McKinley County (505) 863-3828
LEROY JIM LPCC, CRC
Counselor (Professional)
2025 E AZTEC AVE
GALLUP, NM 87301
McKinley County (505) 863-3828
DONNA J RICH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2025 E AZTEC AVE
GALLUP, NM 87301
McKinley County (432) 888-4130
PRESBYTERIAN MEDICAL SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
2025 E AZTEC AVE
GALLUP, NM 87301
McKinley County (505) 863-3828
FRANCES B ANDABLO
Behavior Analyst
2025 E AZTEC AVE
GALLUP, NM 87301
McKinley County (505) 863-3828
ALICE BYBEE
Behavior Analyst
2025 E AZTEC AVE
GALLUP, NM 87301
McKinley County (505) 863-3828
ARGENIS SANTAMARIA LMSW
Social Worker
2025 E AZTEC AVE
GALLUP, NM 87301
McKinley County (505) 863-3828

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 Fae Epaloose's NPI number?

The NPI number for Fae Epaloose is 1841460664. It was assigned to this individual provider in the NPPES registry on March 7, 2008.

Where is Fae Epaloose located?

Fae Epaloose practices at 2025 E Aztec Ave, Gallup, NM 87301. The listed phone number is (505) 633-8288.

What is Fae Epaloose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Fae Epaloose enrolled in Medicare?

Yes. Fae Epaloose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Fae Epaloose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fae Epaloose reassigns Medicare benefits to Presbyterian Medical Services (Rio Rancho, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fae Epaloose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fae Epaloose was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.