CORKY ST. JAMES (NPI# 1952659658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952659658 |
| Entity Type | Individual |
| Full Name | CORKY ST. JAMES |
| Credential | LADAC |
| Practice Address |
3150 Carlisle Blvd Ne 22 Albuquerque NM 87110-1678 |
| Mailing Address |
3150 Carlisle Blvd. N.e. 22 Albuquerque NM 87110-1679 |
| Practice Telephone | 5058306030 |
| Practice Fax Number | 5058306031 |
| Mailing Telephone | 5058306030 |
| Mailing Fax Number | 5058306031 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3888 | NM | Behavioral Health & Social Service Providers |
| Street Address |
3150 CARLISLE BLVD NE 22 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-1678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184785453 | Julie Dicianno | Emergency Medicine | 3150 Carlisle Blvd Ne, Ste 107, Albuquerque, NM 87110-1682 | 2006-12-12 |
| 1114385952 | Sage Bear Counseling, LLC | Social Worker | 3150 Carlisle Blvd Ne, Suite 22, Albuquerque, NM 87110-1678 | 2016-02-08 |
| 1104284629 | H and W Associates, LLC | Case Management | 3150 Carlisle Blvd Ne, Ste 103, Albuquerque, NM 87110-1678 | 2016-01-29 |
| 1497000954 | Ravensnow L.L.C. | Community/Behavioral Health | 3150 Carlisle Blvd Ne, Ste 22, Albuquerque, NM 87110-1679 | 2012-07-19 |
| 1477881530 | Amanda Rouse | Reflexologist | 3150 Carlisle Blvd Ne, Albuquerque, NM 87110-1678 | 2009-12-01 |
| 1174740856 | Su Vida Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3150 Carlisle Blvd Ne, Suite #206, Albuquerque, NM 87110-1678 | 2007-04-20 |
| 1578694642 | Dawn M Saunders | Specialist | 3150 Carlisle Blvd Ne, Suite 101, Albuquerque, NM 87110-1678 | 2007-03-08 |
| 1437213899 | Katherine Genevieve Davidge | Social Worker | 3150 Carlisle Blvd Ne, Suite 22, Albuquerque, NM 87110-1679 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395368 | Roadrunner Recovery Services LLC | Counselor | 505 13th St Sw Apt A, Albuquerque, NM 87102-2873 | 2020-04-22 |
| 1104465152 | Laura Aubert | Counselor | 1108 Vassar Dr Se, Albuquerque, NM 87106-2959 | 2019-12-21 |
| 1245719665 | Ashley Tapia | Counselor | 125 Candelaria Rd Nw, Albuquerque, NM 87107-2210 | 2018-08-07 |
| 1194226415 | Aurora R Cata | Counselor | 1528 5 Pts Rd Sw, Albuquerque, NM 87105-3179 | 2018-02-22 |
| 1689198582 | Margaret Ann Garberina | Counselor | 4031 Mackland Ave Ne, Albuquerque, NM 87110-7711 | 2017-08-01 |
| 1699229559 | Louise Blazquez | Counselor | 8000 Roma Ave Ne, Albuquerque, NM 87108-2334 | 2016-08-09 |
| 1861848632 | Recovery Services of New Mexico, LLC | Counselor | 1711 Isleta Blvd Sw, Albuquerque, NM 87105-4635 | 2016-05-10 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1285095257 | Robert Barnes | Counselor | 8613 Democracy Rd Ne, Albuquerque, NM 87109-5181 | 2016-03-17 |
| 1366809089 | Elizabeth Hawkins | Counselor | 7005 Avenida La Costa Ne, Albuquerque, NM 87109-3927 | 2016-01-26 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on CORKY ST. JAMES.
| 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.