Individual provider

Elouise Blackgoat, COUNSELOR

Counselor Addiction (Substance Use Disorder) Counselor

Elouise Blackgoat, COUNSELOR is a Counselor in Gallup, NM, registered under NPI 1043415854. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 300 W NIZHONI BLVD STE A, Gallup, NM 87301. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

300 W NIZHONI BLVD STE A, Gallup, NM 87301 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
0122361 NM Counselor primary
0122361 NM Addiction (Substance Use Disorder)…
11440 AZ Addiction (Substance Use Disorder)…

Licences are recorded in 2 states: NM, AZ. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Arizona and New Mexico. The practice address on file is in Gallup, NM, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AZ Arizona
Licence
11440
Specialty
Addiction (Substance Use Disorder)…
Verify with the AZ board →
NM New Mexico practice address
Licence
0122361
Specialty
Counselor
Verify with the NM board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Counselor covers

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. NUCC Health Care Provider Taxonomy, code 101Y00000X
Behavioral Health & Social Service Providers Counselor

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101Y00000X Counselor 0122361 NM primary
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) 0122361 NM
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) 11440 AZ

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1043415854 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 20, 2007
Last updatedJun 28, 2018
StatusActive
Sole proprietorNo
CredentialCOUNSELOR
Practice address 300 W NIZHONI BLVD STE A
Gallup, NM 87301
(505) 722-9470
Fax (505) 722-9570
This record was last updated on Jun 28, 2018, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1043415854 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 4 3 4 1 5 8 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 8 3 8 1 1 8 1

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1043415854?
NPI 1043415854 is the National Provider Identifier assigned to Elouise Blackgoat, COUNSELOR in Gallup, NM. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Counselor cover?
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
How do I contact Elouise Blackgoat, COUNSELOR?
The phone number on file with NPPES is (505) 722-9470, last updated Jun 28, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1043415854 a valid number?
Yes. 1043415854 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.