Mary Ellen Agolia, PHD
NPI 1598837841ActiveIndividual· Counselor, Mental Health· High Rolls Mountain Park, NM
Counselor, Mental Health (PHD) in High Rolls Mountain Park, New Mexico, licensed in NM, with an NPI issued in November 2006. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1598837841 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Nov 14, 2006 |
| Last updated in NPPES | Mar 21, 2021 |
| Certified by provider | Mar 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 1188 | NM |
| Social Worker | 104100000X | M0432 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NM) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Other mental health counselors in High Rolls Mountain Park
- 1588138325