Individual provider · Type 1 NPI

Madison Paris Wimbish, CPSW, CCSS, LSAA

Peer Specialist · Farmington, NM

NPI number 1114763422 Active

Practice location

1001 W Broadway
Farmington, NM 87401-5638

Call (505) 327-4796 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000X07262024 (NM)
Addiction (Substance Use Disorder) Counselor 101YA0400XCTB-2026-0011 (NM)
Peer Specialist Primary 175T00000X1750 (NM)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1114763422

Madison Paris Wimbish, CPSW, CCSS, LSAA's National Provider Identifier is 1114763422, issued on Jul 5, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Farmington, NM. The record was last updated on Jun 8, 2026.