WILLIAM JACK POGUE M.A. NPI 1992770242

NPI Information

NPI: 1992770242
Provider Name: WILLIAM JACK POGUE, M.A.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
313 W APACHE ST
FARMINGTON, NM
ZIP 87401
Phone: (505) 325-5321
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William Jack Pogue, M.A. is a professional counselor in Farmington, NM. William Jack Pogue, M.A. NPI is 1992770242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

313 W APACHE ST
FARMINGTON, NM
ZIP 87401-835
Phone: (505) 325-5321
Fax: (505) 325-6453

The enumeration date for this NPI number is 2/21/2006 and was last updated on 5/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	1607	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	850447796	OTHER	NEW MEXICO	SAN JUAN IPA
2	98965	OTHER	NEW MEXICO	VALUE OPTIONS
3	362	OTHER	NEW MEXICO	MESA MENTAL HEALTH
4	98965	MEDICAID	NEW MEXICO
5	23788	OTHER	NEW MEXICO	PRESBYTERIAN HEALTH CARE
6	65613	OTHER	NEW MEXICO	CIGNA HEALTH CARE
7	R64S	OTHER	NEW MEXICO	BLUE CROSS BLUE SHIELD
8	15483	OTHER	NEW MEXICO	LOVELACE HEALTH CARE
9	VNM000690T	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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