Active NPI
Evelina Vitter
- Mental Health Counselor
- Rio Rancho, NM
National Provider Identifier
1043080302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CTB-2024-0014
- Practice address
- 1740 Grande Blvd SE Ste E-3
Rio Rancho, NM 87124-1799 - Phone
- (505) 585-5113
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CTB-2024-0014 | NM | Primary |
Addresses
Primary practice location
1740 Grande Blvd SE Ste E-3
Rio Rancho, NM 87124-1799
Mailing address
1740 Grande Blvd SE Ste E-3
Rio Rancho, NM 87124-1799
Phone (505) 585-5113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTB-2024-0014 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1043080302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 GRANDE BLVD SE STE E-3",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241799",
"telephone_number": "505-585-5113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 GRANDE BLVD SE STE E-3",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241799",
"telephone_number": "505-585-5113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITTER",
"first_name": "EVELINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CTB-2024-0014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.