Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Vera D John , LPCC

Counselor - Professional β€’ Gallup, NM

Active NPI 1073707600 Individual Practitioner Female Practitioner
Practice location in NPPES

300 W Nizhoni Blvd, Suite A
Gallup, NM 873015766

Call 5057229470 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

300 W Nizhoni Blvd
Suite A

Gallup, NM 873015766

Telephone 5057229470
Fax 5057229570
Organization at the Same NPPES Address or Phone
Gallup Outpatient Treatment Center Facility NPI 1588925788

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gallup and New Mexico

10 active clinicians are listed under Counselor - Professional with a practice address in Gallup, NM (1,288 in New Mexico).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES NM 0110991
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Mexico State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active March 13, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location March 13, 2017

Registered at 300 W NIZHONI BLVD, SUITE A, GALLUP, NM 873015766 (Tel: 5057229470)

πŸ“
Updated Business Mailing Address March 13, 2017

Registered at 300 W NIZHONI BLVD, SUITE A, GALLUP, NM 873015766 (Tel: 5057229470)

πŸ‘€
Provider Name / Credentials Updated March 13, 2017

Recorded as VERA JOHN, LPCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2017

Counselor (license number reported to NPPES: NM 0110991)

βœ…
NPI Profile Active February 19, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 19, 2008

Registered at 5310 SEQUOIA RD NW, ALBUQUERQUE, NM 871201249 (Tel: 5053523126)

πŸ“
Business Mailing Address (Initial Record) February 19, 2008

Registered at 5310 SEQUOIA RD NW, ALBUQUERQUE, NM 871201249 (Tel: 5053523126)

πŸ‘€
Provider Name / Credentials (Initial Record) February 19, 2008

Recorded as VERA JOHN, LPCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2008

Counselor (license number reported to NPPES: NM 0110991)

🟒
Initial NPI Registration & Enumeration August 27, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1073707600
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2007
Last Update: July 16, 2019
Sole Proprietor: No

Mailing Address

300 W Nizhoni Blvd, Suite A

Gallup, NM 873015766

Phone: 5057229470

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.