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Active NPI 1316661713 Individual Practitioner Female Practitioner

Dariquetta Dorry Chavez

Counselor • Gallup, NM

Professional Overview & Biography Verified Profile Summary

Dariquetta Chavez is a registered healthcare professional specializing in Counselor in Gallup, NM. Practice services are available at 2111 COLLEGE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2111 College Dr

Gallup, NM 873015600

Telephone 5053975172
Associated Practice Facility / Clinic
🏢 Gallup Community Health Facility NPI 1336807254

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Gallup, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Gallup, NM (2026 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-23
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License NM SWB-2026-0636

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.

Psychologist - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 103TA0400X

State License NM CTB-2026-0621

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Secondary Practice Locations

950 W Aztec Ave

Gallup, NM 873016666

Phone: 8662732451

1200 N White Sands Blvd Ste 115

Alamogordo, NM 883106774

Phone: 8662732451

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Alexis Lucero , CHW

Community Health Worker

NPI 1013852979
Janene Vaughn , LCSW

Social Worker - Clinical

NPI 1023947801

Licensed Clinical Social Worker

Judy Luranc Sweeney , OT

Occupational Therapist - Pediatrics

NPI 1043105539

Occupational Therapist

Raelynn Benally

Nurse Practitioner - Family

NPI 1053855593
Alexandra Cotter , PA-C

Physician Assistant

NPI 1093190969

Physician Assistant (Certified)

Ahedabah June , CHW

Community Health Worker

NPI 1205771169

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2026

Psychologist (License #CTB-2026-0621 in NM)

📍
Updated Practice Location June 12, 2026

Registered at 2111 COLLEGE DR, GALLUP, NM 873015600 (Tel: 5053975172)

📍
Updated Business Mailing Address June 12, 2026

Registered at 312 BLACK DIAMOND CANYON DR, GALLUP, NM 873015356 (Tel: 5059061715)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2026

Counselor (License #SWB-2026-0636 in NM)

NPI Profile Active October 03, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2022

Registered at 950 W AZTEC AVE, GALLUP, NM 873016666 (Tel: 8662732451)

📍
Updated Business Mailing Address October 03, 2022

Registered at 1200 N WHITE SANDS BLVD STE 115, ALAMOGORDO, NM 883106774 (Tel: 8662732451)

👤
Provider Name / Credentials Updated October 03, 2022

Recorded as DARIQUETTA CHAVEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2022

Behavior Technician

🟢
Initial NPI Registration & Enumeration September 29, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316661713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2022
Last Update: July 23, 2026
Sole Proprietor: No

Mailing Address

312 Black Diamond Canyon Dr

Gallup, NM 873015356

Phone: 5059061715

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.