Melissa Ann Tarazon, LADAC
Counselor, Addiction (Substance Use Disorder) in Farmington, NM. Individual provider (NPI-1).
Details
- NPI
- 1245574136
- Entity type
- Individual (NPI-1)
- Name
- Melissa Ann Tarazon
- Credential
- LADAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2012
- Certification date
- Jan 26, 2023
- Last updated
- Nov 1, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 0170431 | NM | Yes |
Practice location
1200 W Apache StFarmington, NM 87401-3886
Phone 505-258-2763 · Fax 505-675-2803
Mailing address
1200 W Apache StFarmington, NM 87401-3886
Phone 505-258-2763 · Fax 505-675-2803
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 61 Addiction (Substance Use Disorder) Counselor providers in Farmington · All 2,079 providers in Farmington
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