Healthcare Provider Details

I. General information

NPI: 1487762779
Provider Name (Legal Business Name): JAMES G HELGERT LPCC/LADAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2006
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 N GRANT ST STE A
SILVER CITY NM
88061-5134
US

IV. Provider business mailing address

1311 N GRANT ST STE A
SILVER CITY NM
88061-5134
US

V. Phone/Fax

Practice location:
  • Phone: 575-388-1447
  • Fax: 575-388-1447
Mailing address:
  • Phone: 575-388-1447
  • Fax: 575-388-1447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number3801
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0155921
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: