MARK GERAGHTY (NPI# 1851588230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851588230 |
| Entity Type | Individual |
| Full Name | MARK GERAGHTY |
| Credential | LPCC |
| Practice Address |
650 Vanden Bosch Pkwy Gallup NM 87301-5508 |
| Mailing Address |
1901 Redrock Dr Gallup NM 87301-5683 |
| Practice Telephone | 5057266910 |
| Mailing Telephone | 5058637000 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0085771 | NM | Behavioral Health & Social Service Providers |
| Street Address |
650 VANDEN BOSCH PKWY |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972574416 | Jill June Blacharsh | Psychiatry & Neurology | 650 Vanden Bosch Pkwy, B, Gallup, NM 87301 | 2006-02-01 |
| 1518128206 | Jeremy Taylor Lindsey | Marriage & Family Therapist | 650 Vanden Bosch Pkwy, Gallup, NM 87301-5508 | 2008-06-24 |
| 1255598108 | Kenny D Sanchez | Counselor | 650 Vanden Bosch Pkwy, Gallup, NM 87301-5508 | 2008-05-19 |
| 1669693636 | Rehoboth Mckinley Christian Health Care Services, Inc. | Clinic/Center | 650 Vanden Bosch Pkwy, Bhs, Gallup, NM 87301-5508 | 2007-05-01 |
| 1437280419 | Ricardo P Spencer | Counselor | 650 Vanden Bosch Pkwy, #b, Gallup, NM 87301-5508 | 2007-03-08 |
| 1750412730 | Donna F Lupee | Counselor | 650 Vanden Bosch Pkwy, # B, Gallup, NM 87301-5508 | 2007-03-08 |
| 1972634962 | Alvera R Upshaw | Counselor | 650 Vanden Bosch Pkwy, # B, Gallup, NM 87301-5508 | 2007-03-08 |
| 1215068200 | Gerald L Watchman | Counselor | 650 Vanden Bosch Pkwy, B, Gallup, NM 87301-5508 | 2007-03-08 |
| 1629040407 | Bruce D. Tempest | Family Medicine | 650 Vanden Bosch Pkwy, #a, Gallup, NM 87301-5508 | 2006-02-06 |
| 1962474833 | Paula Stifler | Social Worker | 650 Vanden Bosch Pkwy, B, Gallup, NM 87301-5508 | 2006-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064446 | Darryl Benally | Counselor | 1040 Patton Dr, Gallup, NM 87301-7425 | 2020-05-12 |
| 1982107546 | Regina Huffman | Counselor | 303 S First St, Gallup, NM 87301-6211 | 2018-03-09 |
| 1245508472 | Michele R Horsley | Counselor | 102 E Aztec Ave, Gallup, NM 87301-6256 | 2011-12-02 |
| 1639385339 | Robert J Louis II | Counselor | 310 E Mesa Ave, Gallup, NM 87301-6147 | 2007-05-16 |
| 1104979319 | Audni Genevieve Miller | Counselor | 607 S Puerco Dr, Gallup, NM 87301-6137 | 2007-01-19 |
| 1538236997 | Donna M Tarro | Counselor | 213 W Mesa Ave, Gallup, NM 87301-6335 | 2006-11-29 |
| 1114934734 | Kristin M Himmler | Counselor | 2025 E Aztec, Gallup, NM 87301 | 2006-08-03 |
| 1821571878 | Daniel Ensign | Counselor | 303 S First St, Gallup, NM 87301-6211 | 2018-09-14 |
| 1720528433 | Hope Juno Martinez | Counselor | 300 W Nizhoni Blvd Ste A, Gallup, NM 87301-5766 | 2017-02-28 |
| 1528500394 | Jessica Marie Pederson | Counselor | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2016-11-10 |
| Find all providers in GALLUP | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.